Active NPI
Jackalyn Sara Venditto, LICSW
- Clinical Social Worker
- North Kingstown, RI
National Provider Identifier
1306870472
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- ISWO2157
- Practice address
- 10 Rollingwood Dr
North Kingstown, RI 02852-4614 - Phone
- (401) 529-5019
- NPI assigned
- Jul 11, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | ISWO2157 | RI | Primary |
Addresses
Primary practice location
10 Rollingwood Dr
North Kingstown, RI 02852-4614
Mailing address
10 Rollingwood Dr
North Kingstown, RI 02852-4614
Phone (401) 529-5019
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 |
|---|---|---|---|
| ISWO2157 | RI | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Women & Infants Hospital of Rhode Island | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- General Acute Care Hospital
- Providence, RI
- NPI 1447233788
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152576000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1305849600000",
"number": "1306870472",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10 ROLLINGWOOD DR",
"city": "NORTH KINGSTOWN",
"state": "RI",
"postal_code": "028524614",
"telephone_number": "401-529-5019"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10 ROLLINGWOOD DR",
"city": "NORTH KINGSTOWN",
"state": "RI",
"postal_code": "028524614",
"telephone_number": "401-529-5019"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VENDITTO",
"first_name": "JACKALYN",
"middle_name": "SARA",
"credential": "LICSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-07-11",
"last_updated": "2011-05-20",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "RI",
"license": "ISWO2157",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in North Kingstown, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.