Joan A Souza, MSW LICSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

ISW01249 Issued in RI

Practice address

1 Richmond Square
Suite 232E
Providence, RI 02906-4318

Phone

(401) 273-4999

Fax

(401) 273-4999

NPI assigned

Aug 30, 2006

Last updated

Dec 13, 2017By the provider in NPPES

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

Other identifiers 4

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Elaine Martin, Licsw, LLC

  • Clinical Social Worker
  • Providence, RI
  • NPI 1255732111
  NPD (past)

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1513123200000",
    "number": "1356451710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 RICHMOND SQUARE",
            "address_2": "SUITE 232E",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029064318",
            "telephone_number": "401-273-4999",
            "fax_number": "401-273-9999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 RICHMOND SQUARE",
            "address_2": "SUITE 232E",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029064318",
            "telephone_number": "401-273-4999",
            "fax_number": "401-273-4999"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "120 Wayland Ave",
            "address_2": "Suite 4A",
            "address_purpose": "LOCATION",
            "city": "Providence",
            "state": "RI",
            "postal_code": "029064318",
            "country_code": "US",
            "telephone_number": "401-273-4999",
            "fax_number": "401-273-9997",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SOUZA",
        "first_name": "JOAN",
        "middle_name": "A",
        "credential": "MSW LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-30",
        "last_updated": "2017-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MA",
            "license": "110419",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "RI",
            "license": "ISW01249",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "22359",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAGELLAN",
            "identifier": "380354",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UBH",
            "identifier": "6234979",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAGELLAN",
            "identifier": "380354",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Southern New England Retina Associates, PC
• Southside Elementary Charter School
• Southside Elementary Charter School
• Southside Perinatal
• Levon Souvalian, MD
• Kelly Ann Souza
• Monica Katharine Souza, PA-C
• Nicholas Joseph Souza, LPN
• Stacie Lyn Souza, LICSW
• Victoria Souza, PHARMD

• Social Worker in Providence, RI
• Providers in Providence, RI by specialty
• Social Worker in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2017; 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.