Individual provider Active NPI

Terri Lupoli, LICSW

  • Social Worker
  • Providence, RI
National Provider Identifier
1306885223
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
ISW01462 Issued in RI
Practice address
1086 Smith St
Providence, RI 02908-2738
Phone
(401) 783-0523
Fax
(401) 842-0360
NPI assigned
Jun 6, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X ISW01462 RI Primary

Addresses

Primary practice location

1086 Smith St
Providence, RI 02908-2738

Mailing address

1086 Smith St
Providence, RI 02908-2738
Phone (401) 783-0523

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
I20070117000201 RI Practitioner - Clinical Social Worker 2961403043 Reassigns benefits to 1 organization
Practice locations: Providence, RI

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Providence Behavioral Health Associates IncGroup PAC ID 3274798236, 19 clinicians

Practice addresses (Care Compare)

1075 Smith St
Suite 2
Providence, RI 02908-2700
Phone (401) 369-9224

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Providence Behavioral Health Associates Inc CurrentSince Nov 25, 2015 Accepting new patients

Locations

1075 Smith St
Ste 2
Providence, RI 02908
Phone (401) 369-9224

1086 Smith St
Providence, RI 02908
Phone (401) 331-6540

1075 Smith St
Providence, RI 02908
Phone (401) 369-9224

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.

NPI Registry JSON

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

{
    "created_epoch": "1149552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1306885223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1086 SMITH ST",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029082738",
            "telephone_number": "401-783-0523",
            "fax_number": "401-842-0360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1086 SMITH ST",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029082738",
            "telephone_number": "401-783-0523",
            "fax_number": "401-842-0360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUPOLI",
        "first_name": "TERRI",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-06",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "RI",
            "license": "ISW01462",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Providence, RI

Sources for this page

Verify at the official NPI Registry.