Active NPI
Justice Gomes
- Clinical Social Worker
- Pawtucket, RI
National Provider Identifier
1285350645
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- CSW02957
- Practice address
- 109 Garden St
Pawtucket, RI 02860-3705 - Phone
- (774) 719-7824
- NPI assigned
- Oct 18, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | LCSW228937 | ||
| Clinical Social Worker | 1041C0700X | CSW02957 | RI | Primary |
Addresses
Primary practice location
109 Garden St
Pawtucket, RI 02860-3705
Mailing address
1540 Pontiac Ave
Cranston, RI 02920-4472
Other practice location 1
38 Depot St
North Attleboro, MA 02760-4304
Phone (617) 780-0735
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CSW02957 | RI | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Safe Integration Works | Clinical | Current | Accepting new patients |
| Justice Assistance | Current | Accepting new patients |
Locations
1540 Pontiac Ave
Cranston, RI 02920
Phone (401) 781-0537
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 and National Provider Directory roles.
-
- Family Medicine Physician
- Cranston, RI
- NPI 1386374015
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1666051200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1692144000000",
"number": "1285350645",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1540 PONTIAC AVE",
"city": "CRANSTON",
"state": "RI",
"postal_code": "029204472"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "109 GARDEN ST",
"city": "PAWTUCKET",
"state": "RI",
"postal_code": "028603705",
"telephone_number": "774-719-7824"
}
],
"practiceLocations": [
{
"address_1": "38 Depot St",
"address_purpose": "LOCATION",
"city": "North Attleboro",
"state": "MA",
"postal_code": "027604304",
"country_code": "US",
"telephone_number": "617-780-0735",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GOMES",
"first_name": "JUSTICE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-10-18",
"last_updated": "2023-08-16",
"certification_date": "2023-08-16",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": null,
"license": "LCSW228937",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "RI",
"license": "CSW02957",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pawtucket, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.