Individual provider Active NPI

Virginia M Cerbo, LICSW

  • Clinical Social Worker
  • Tiverton, RI
National Provider Identifier
1336248442
Registry record updated Nov 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
ISW00275 Issued in RI
Practice address
546 Main Rd
Tiverton, RI 02878-1350
Phone
(401) 447-1544
Fax
(000) 000-0000
NPI assigned
Sep 22, 2006
Last updated
Nov 16, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X LSW00275 RI
Clinical Social Worker 1041C0700X 102077 MA
Clinical Social Worker 1041C0700X ISW00275 RI Primary

Addresses

Primary practice location

546 Main Rd
Tiverton, RI 02878-1350

Mailing address

PO Box 233
Tiverton, RI 02878-0233
Phone (401) 447-1544

Other practice location 1

593 Eddy St
Providence, RI 02903-4923
Phone (401) 444-4515

Other practice location 2

593 Eddy Street APC Main
Providence, RI 02903-4923
Phone (401) 444-5435

Other identifiers 4

IdentifierTypeStateIssuer
75035OtherRIBLT
406364OtherRIBLUE CHIP
774623OtherTUFTS
7503001OtherMASS BLT

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
I20110323000091 RI Practitioner - Clinical Social Worker 4082897491 Reassigns benefits to 1 organization
Practice locations: Tiverton, RI

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1808 Main Rd
Tiverton, RI 02878-4625
Phone (401) 624-9981

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LSW00275RIMDSocial Worker
102077MAMDClinical Social Worker
ISW00275RIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Rhode Island Hospital CurrentSince May 25, 2024 Accepting new patients
Rhode Island Hospital CurrentSince May 25, 2024 Accepting new patients

Locations

1454 S County Trl
Ste 2100
East Greenwich, RI 02818
Phone (401) 606-2000

593 Eddy St
Providence, RI 02903

593 Eddy St
Ste 5
Providence, RI 02903
Phone (401) 444-3996

Organizations & group practices 2

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": "1158883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763251200000",
    "number": "1336248442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 233",
            "city": "TIVERTON",
            "state": "RI",
            "postal_code": "028780233",
            "telephone_number": "401-447-1544",
            "fax_number": "000-000-0000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "546 MAIN RD",
            "city": "TIVERTON",
            "state": "RI",
            "postal_code": "028781350",
            "telephone_number": "401-447-1544",
            "fax_number": "000-000-0000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "593 Eddy St",
            "address_purpose": "LOCATION",
            "city": "Providence",
            "state": "RI",
            "postal_code": "029034923",
            "country_code": "US",
            "telephone_number": "401-444-4515",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "593 Eddy Street APC Main",
            "address_purpose": "LOCATION",
            "city": "Providence",
            "state": "RI",
            "postal_code": "029034923",
            "country_code": "US",
            "telephone_number": "401-444-5435",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CERBO",
        "first_name": "VIRGINIA",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-22",
        "last_updated": "2025-11-16",
        "certification_date": "2025-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "RI",
            "license": "LSW00275",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "102077",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "RI",
            "license": "ISW00275",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLT",
            "identifier": "75035",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CHIP",
            "identifier": "406364",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS",
            "identifier": "774623",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MASS BLT",
            "identifier": "7503001",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tiverton, RI

Sources for this page

Verify at the official NPI Registry.