Joshua Brackett
Individual provider Active NPI Clinical Social Worker · Exeter, RI
NPI 1316535545 · NPPES record last updated Jan 4, 2021
Key facts
- NPI
- 1316535545
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- ISW03209 (RI)
- Practice address
- 251 Main St
Exeter, RI 02822-3531 - Phone
- (401) 295-0960
- NPI assigned
- Jan 4, 2021
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare Care Compare profile
Merit-based Incentive Payment System (MIPS)
- Final score
- 69.09 of 100
- Quality
- 73.07
- Promoting interoperability
- 0
- Improvement activities
- 40
- Cost
- 73.89
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 010027 | CT | MD | Pediatric Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Supportive Care I of Rhode Island PC | Current |
Accepting new patients |
Locations
27 Randolph Rd
#A
Howell, NJ 07731
Phone (732) 797-9290
27 Randolph Rd
Howell, NJ 07731
Phone (972) 677-7951
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 010027 | CT | |
| Clinical Social Worker | 1041C0700X | ISW03209 | RI | Yes |
Addresses
Primary practice location
251 Main St
Exeter, RI 02822-3531
Mailing address
251 Main St
Exeter, RI 02822-3531
Other providers in Exeter, RI
- Body Ease Ri Physical Therapy Centre LLC
- Megan Marie Bradley
- Joye A Briggs
- Robin Cahill
- Carpenter Hall LLC
- Carpenter Hall LLC
All providers in Exeter, RI · Clinical Social Worker in Rhode Island
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 4, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.