Individual provider Active NPI

Terry Janette Gaspard, LICSW

  • Clinical Social Worker
  • Middletown, RI
National Provider Identifier
1356806483
Registry record updated Feb 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
ISWO1254 Issued in RI
Practice address
42 Valley Rd Ste 3C
Middletown, RI 02842-6376
Phone
(401) 842-0009
NPI assigned
Feb 3, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2019

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 ISWO1254 RI Primary

Addresses

Primary practice location

42 Valley Rd Ste 3C
Middletown, RI 02842-6376

Mailing address

67 Cherokee Dr
Portsmouth, RI 02871-2911
Phone (508) 328-7134

Other practice location 1

18 Gooding Ave Fl 2
Bristol, RI 02809-2610

Other practice location 2

18 Gooding Ave Fl 2
Bristol, RI 02809-2610

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
ISWO1254RIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Karen Gieseke, PHD & Associates Inc. PastSince Jul 19, 2016 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1549152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1549152000000",
    "number": "1356806483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "67 CHEROKEE DR",
            "city": "PORTSMOUTH",
            "state": "RI",
            "postal_code": "028712911",
            "telephone_number": "508-328-7134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42 VALLEY RD STE 3C",
            "city": "MIDDLETOWN",
            "state": "RI",
            "postal_code": "028426376",
            "telephone_number": "401-842-0009"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "18 Gooding Ave Fl 2",
            "address_purpose": "LOCATION",
            "city": "Bristol",
            "state": "RI",
            "postal_code": "028092610",
            "country_code": "US",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "18 Gooding Ave Fl 2",
            "address_purpose": "LOCATION",
            "city": "Bristol",
            "state": "RI",
            "postal_code": "028092610",
            "country_code": "US",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GASPARD",
        "first_name": "TERRY",
        "middle_name": "JANETTE",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-03",
        "last_updated": "2019-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "RI",
            "license": "ISWO1254",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Middletown, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2019; 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.