Individual provider Active NPI

Jillian McLeish, MSW

  • Clinical Social Worker
  • Middletown, RI
National Provider Identifier
1275059487
Registry record updated Nov 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
ISW02845 Issued in RI
Practice address
42 Valley Rd
Middletown, RI 02842-6400
Phone
(401) 846-1213
Fax
(401) 848-6398
NPI assigned
Aug 18, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 26, 2024

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 ISW02845 RI Primary

Addresses

Primary practice location

42 Valley Rd
Middletown, RI 02842-6400

Mailing address

42 Valley Rd
Middletown, RI 02842-6400
Phone (401) 846-1213

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
I20180816000281 RI Practitioner - Clinical Social Worker 7719236298 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
East Bay Community Action Program CurrentSince Sep 17, 2018 Accepting new patients
East Bay Community Action Program CurrentSince Sep 17, 2018 Accepting new patients
Gateway Healthcare Inc CurrentSince Feb 3, 2019 Accepting new patients

Locations

1516 Atwood Ave
Johnston, RI 02919
Phone (401) 463-8829

65 Valley Rd
Middletown, RI 02842
Phone (401) 431-9870

11 Friendship St
Newport, RI 02840
Phone (401) 845-1110

6 John H Chafee Blvd
Newport, RI 02840
Phone (401) 239-1208

19 Broadway
Newport, RI 02840
Phone (401) 845-0564

1 Virginia Ave
Ste 200
Providence, RI 02905

100 Bullocks Point Ave
Riverside, RI 02915
Phone (401) 437-1000

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1503014400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732579200000",
    "number": "1275059487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42 VALLEY RD",
            "city": "MIDDLETOWN",
            "state": "RI",
            "postal_code": "028426400",
            "telephone_number": "401-846-1213",
            "fax_number": "401-848-6398"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42 VALLEY RD",
            "city": "MIDDLETOWN",
            "state": "RI",
            "postal_code": "028426400",
            "telephone_number": "401-846-1213",
            "fax_number": "401-848-6398"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCLEISH",
        "first_name": "JILLIAN",
        "credential": "MSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-18",
        "last_updated": "2024-11-26",
        "certification_date": "2024-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "RI",
            "license": "ISW02845",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Middletown, RI

Sources for this page

Verify at the official NPI Registry.