Mary Louise Taft, MSW, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

ISW00068 Issued in RI

Practice address

11 King Charles Dr
Suite A4A
Portsmouth, RI 02871-1364

Phone

(401) 683-0920

NPI assigned

Sep 24, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Kings Grant Chiropractic LLC

  • Chiropractor
  • Portsmouth, RI
  • NPI 1942970181
  NPD (past)

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

{
    "created_epoch": "1159056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1306946983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 811",
            "city": "PORTSMOUTH",
            "state": "RI",
            "postal_code": "028710811",
            "telephone_number": "401-683-0920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 KING CHARLES DR",
            "address_2": "SUITE A4A",
            "city": "PORTSMOUTH",
            "state": "RI",
            "postal_code": "028711364",
            "telephone_number": "401-683-0920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAFT",
        "first_name": "MARY LOUISE",
        "name_prefix": "Mrs.",
        "credential": "MSW, LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "RI",
            "license": "ISW00068",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS PROVIDER NUMBE",
            "identifier": "7425-2",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "ROO2362",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Patricia Ann Surprenant, MSW,LICSW,ACSW
• Susan D Worthen
• Jessica Swain, OT
• Tom Duane Swanson, D.D..S.
• Matthew Sweeney, DPT
• Felecia T Tantimonico-Rauchle, RPH
• The Center for Learning and Psychological Services
• Danielle A Thibert, LICSW
• Jennifer Thiesen, RNP
• Thomas P. McMahon, MD, Inc.

• Clinical Social Worker in Portsmouth, RI
• Providers in Portsmouth, RI by specialty
• 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.