Individual provider Active NPI

Catherine Hearne, LICSW

  • Clinical Social Worker
  • Wakefield, RI
National Provider Identifier
1336596022
Registry record updated Oct 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
ISW02884 Issued in RI
Practice address
160 Old Tower Hill Rd # 1003
Wakefield, RI 02879-3742
Phone
(401) 450-2264
Fax
(877) 792-2499
NPI assigned
May 23, 2016
Last updated
Oct 18, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X
Clinical Social Worker 1041C0700X ISW02884 RI Primary

Addresses

Primary practice location

160 Old Tower Hill Rd # 1003
Wakefield, RI 02879-3742

Mailing address

160 Old Tower Hill Rd # 1003
Wakefield, RI 02879-3742
Phone (401) 450-2264

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
ISW02884RIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Catherine Hearne Counseling LLC Clinical CurrentSince Oct 20, 2024 Accepting new patients
Gateway Healthcare Inc Past Accepting new patients

Locations

160 Old Tower Hill Rd
#1003
Wakefield, RI 02879
Phone (401) 450-2264

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": "1463961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729209600000",
    "number": "1336596022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "160 OLD TOWER HILL RD # 1003",
            "city": "WAKEFIELD",
            "state": "RI",
            "postal_code": "028793742",
            "telephone_number": "401-450-2264",
            "fax_number": "877-792-2499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 OLD TOWER HILL RD # 1003",
            "city": "WAKEFIELD",
            "state": "RI",
            "postal_code": "028793742",
            "telephone_number": "401-450-2264",
            "fax_number": "877-792-2499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEARNE",
        "first_name": "CATHERINE",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-05-23",
        "last_updated": "2024-10-18",
        "certification_date": "2024-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "RI",
            "license": "ISW02884",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wakefield, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2024; 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.