Tina A. Leavitt, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

ISW02932 Issued in RI

Practice address

989 Reservoir Ave Ste 203
Cranston, RI 02910-5138

Phone

(401) 414-7888

NPI assigned

Aug 12, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Electronic endpoints 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Next Step Counseling

  • Clinical Social Worker
  • Cranston, RI
  • NPI 1003562646
  NPD Authorized official

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

{
    "created_epoch": "1565568000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721001600000",
    "number": "1346896701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "989 RESERVOIR AVE STE 203",
            "city": "CRANSTON",
            "state": "RI",
            "postal_code": "029105138",
            "telephone_number": "014-147-8884",
            "fax_number": "401-638-1740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "989 RESERVOIR AVE STE 203",
            "city": "CRANSTON",
            "state": "RI",
            "postal_code": "029105138",
            "telephone_number": "401-414-7888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEAVITT",
        "first_name": "TINA",
        "middle_name": "A.",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-12",
        "last_updated": "2024-07-15",
        "certification_date": "2024-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "LICSW124585",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "RI",
            "license": "ISW02932",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Cranston",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "989 Reservoir Ave Ste 203",
            "city": "Cranston",
            "state": "RI",
            "country_code": "US",
            "postal_code": "029105138",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Cranston",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "989 Reservoir Ave Ste 203",
            "city": "Cranston",
            "state": "RI",
            "country_code": "US",
            "postal_code": "029105138",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Jennifer Susan Lawrence, LMHC
• Joanne Le, O.D.
• Taylor Leach
• Leah F. Adams M.D. Inc.
• Sandra M. Leal, LICSW
• Stacey Lowell Leblanc, APRN, FNP-BC
• Carine M Leconte, M.D.
• Anne H Lee, M.D., PH.D.
• Wang Shiang Lee, PHARM.D
• Yatyee Lee, MASTERS

• Clinical Social Worker in Cranston, RI
• Providers in Cranston, 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 15, 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.