Alan B. Bearman, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

ISW00683 Issued in RI

Practice address

120 Wayland Ave
Suite 1
Providence, RI 02906-4318

Phone

(401) 709-9497

Fax

(401) 709-3776

NPI assigned

Aug 10, 2006

Sex

Male

Sole proprietor

No

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 8, 2007.

{
    "created_epoch": "1155168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1275544934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "92 EDGEHILL RD",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029061929",
            "telephone_number": "401-861-9255",
            "fax_number": "401-709-3776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 WAYLAND AVE",
            "address_2": "SUITE 1",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029064318",
            "telephone_number": "401-709-9497",
            "fax_number": "401-709-3776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEARMAN",
        "first_name": "ALAN",
        "middle_name": "B.",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "RI",
            "license": "ISW00683",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PSYCHOTHERAPIST",
            "identifier": "62-70250",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PSYCHOTHERAPIST",
            "identifier": "3889-8",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PSYCHOTHERAPIST",
            "identifier": "408804",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• All providers in Providence, RI
• Clinical Social Worker in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.