Individual provider Active NPI

Patricia Burns Harwood, LICSW

  • Clinical Social Worker
  • Providence, RI
National Provider Identifier
1265465454
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
ISW01259 Issued in RI
Practice address
229 Waterman St
Jewish Family Service
Providence, RI 02906-5212
Phone
(401) 331-1244
Fax
(401) 331-5772
NPI assigned
Jul 9, 2006
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X ISW01259 RI Primary

Addresses

Primary practice location

229 Waterman St
Jewish Family Service
Providence, RI 02906-5212

Mailing address

229 Waterman St
Jewish Family Service
Providence, RI 02906-5212
Phone (401) 331-1244

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in RI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100512000418 RI Practitioner - Clinical Social Worker 1658409610 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
ISW01259RIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Jewish Collaborative Services CurrentSince Jul 22, 2019 Accepting new patients

Locations

1165 N Main St
Providence, RI 02904
Phone (401) 331-1244

75 Newman Ave
Ste 100
Rumford, RI 02916

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1265465454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "229 WATERMAN ST",
            "address_2": "JEWISH FAMILY SERVICE",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029065212",
            "telephone_number": "401-331-1244",
            "fax_number": "401-331-5772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "229 WATERMAN ST",
            "address_2": "JEWISH FAMILY SERVICE",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029065212",
            "telephone_number": "401-331-1244",
            "fax_number": "401-331-5772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARWOOD",
        "first_name": "PATRICIA",
        "middle_name": "BURNS",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-09",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "RI",
            "license": "ISW01259",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Providence, RI

Sources for this page

Verify at the official NPI Registry.