Individual provider Active NPI

Jennifer Anne Caffrey, LICSW

  • Clinical Social Worker
  • Johnston, RI
National Provider Identifier
1285113571
Registry record updated Jul 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
ISW02009 Issued in RI
Practice address
1126 Hartford Ave
Johnston, RI 02919-7109
Phone
(401) 519-1940
NPI assigned
Aug 8, 2018
Last updated
Jul 13, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2023

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 ISW02009 RI Primary

Addresses

Primary practice location

1126 Hartford Ave
Johnston, RI 02919-7109

Mailing address

4 Briggs Rd
Foster, RI 02825-1205
Phone (401) 644-8389

Other practice location 1

4 Briggs Rd
Foster, RI 02825-1205
Phone (401) 644-8389

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address 0215.0004@direct.bvchc.nextgenshare.com

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
I20230724000668 RI Practitioner - Clinical Social Worker 5698199552 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1126 Hartford Ave
Johnston, RI 02919-7130

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
ISW02009RIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Tri-County Community Action Agency CurrentSince Jun 30, 2023 Accepting new patients
Tri-County Community Action Agency CurrentSince Jun 30, 2023 Accepting new patients

Locations

1126 Hartford Ave
Johnston, RI 02919
Phone (401) 351-2750

33 Maple St
North Providence, RI 02911
Phone (401) 351-2750

Interoperability endpoints

  • Direct secure messaging: jennifer.caffrey.p4@direct.bvchc.nextgenshare.com

Organizations & group practices 2

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": "1533686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689206400000",
    "number": "1285113571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 BRIGGS RD",
            "city": "FOSTER",
            "state": "RI",
            "postal_code": "028251205",
            "telephone_number": "401-644-8389"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1126 HARTFORD AVE",
            "city": "JOHNSTON",
            "state": "RI",
            "postal_code": "029197109",
            "telephone_number": "401-519-1940"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4 Briggs Rd",
            "address_purpose": "LOCATION",
            "city": "Foster",
            "state": "RI",
            "postal_code": "028251205",
            "country_code": "US",
            "telephone_number": "401-644-8389",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CAFFREY",
        "first_name": "JENNIFER",
        "middle_name": "ANNE",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-08",
        "last_updated": "2023-07-13",
        "certification_date": "2023-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "RI",
            "license": "ISW02009",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "0215.0004@direct.bvchc.nextgenshare.com",
            "affiliation": "N",
            "address_1": "1126 Hartford Ave",
            "city": "Johnston",
            "state": "RI",
            "country_code": "US",
            "postal_code": "029197109",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Johnston, RI

Sources for this page

Verify at the official NPI Registry.