Individual provider Active NPI

Emily Dimon, MSW

  • Clinical Social Worker
  • North Providence, RI
National Provider Identifier
1326560004
Registry record updated Jul 13, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
420 Fruit Hill Ave
North Providence, RI 02911-2626
Phone
(401) 353-3900
NPI assigned
Jul 13, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 13, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X Primary

Addresses

Primary practice location

420 Fruit Hill Ave
North Providence, RI 02911-2626

Mailing address

420 Fruit Hill Ave
North Providence, RI 02911-2626

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
I20180226000484 RI Practitioner - Clinical Social Worker 9830450337 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jewish Collaborative ServicesGroup PAC ID 3274863683, 4 clinicians

Practice addresses (Care Compare)

1165 N Main St
Providence, RI 02904-5740
Phone (401) 331-1244

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Prospect Chartercare Sjhsri, LLC CurrentSince Dec 27, 2017 Accepting new patients
Jewish Collaborative Services CurrentSince Dec 24, 2023 Accepting new patients
Prospect Chartercare Sjhsri, LLC CurrentSince Dec 27, 2017 Accepting new patients
Prospect Chartercare RWMC, LLC Clinical CurrentSince Dec 27, 2017 Accepting new patients
Prospect Chartercare RWMC, LLC CurrentSince Dec 27, 2017 Accepting new patients

Locations

2 Wake Robin Rd
Lincoln, RI 02865
Phone (401) 333-1747

200 High Service Ave
North Providence, RI 02904
Phone (401) 456-3000

825 Chalkstone Ave
Providence, RI 02908
Phone (401) 456-2000

1165 N Main St
Providence, RI 02904
Phone (401) 331-1244

75 Newman Ave
Ste 100
Rumford, RI 02916

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1499904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1499904000000",
    "number": "1326560004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 FRUIT HILL AVE",
            "city": "NORTH PROVIDENCE",
            "state": "RI",
            "postal_code": "029112626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 FRUIT HILL AVE",
            "city": "NORTH PROVIDENCE",
            "state": "RI",
            "postal_code": "029112626",
            "telephone_number": "401-353-3900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIMON",
        "first_name": "EMILY",
        "credential": "MSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-07-13",
        "last_updated": "2017-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Providence, RI

Sources for this page

Verify at the official NPI Registry.