Individual provider Active NPI

Craig Warren Gaspard, LICSW

  • Clinical Social Worker
  • Charlestown, RI
National Provider Identifier
1366641417
Registry record updated Mar 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
1026428 Issued in MA
Practice address
51 Old Mill Rd
Charlestown, RI 02813-3322
Phone
(401) 364-1263
Fax
(401) 364-5220
NPI assigned
Jul 17, 2007
Last updated
Mar 8, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X ISW01148 RI
Clinical Social Worker 1041C0700X 1026428 MA Primary

Addresses

Primary practice location

51 Old Mill Rd
Charlestown, RI 02813-3322

Mailing address

67 Cherokee Dr
Portsmouth, RI 02871-2911
Phone (401) 683-7828

Other practice location 1

7 Court St.
Bristol, RI 02809
Phone (401) 842-0009

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, RI2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20071121000533 MA Practitioner - Clinical Social Worker 2365530524
I20171109001261 RI Practitioner - Clinical Social Worker 2365530524 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Narragansett Indian Tribe CurrentSince Mar 5, 2021 Accepting new patients
Catholic Charitable Bureau of the Archdiocese of Boston, Inc. PastSince Feb 17, 2004 Accepting new patients
New England Center for Psychiatric and Addiction Disorders Past Accepting new patients
Catholic Charitable Bureau of the Archdiocesse of Boston, Inc. Dba Past Accepting new patients

Locations

51 Old Mill Rd
Charlestown, RI 02813
Phone (401) 364-1263

Organizations & group practices 4

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": "1184630400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709856000000",
    "number": "1366641417",
    "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": "401-683-7828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "51 OLD MILL RD",
            "city": "CHARLESTOWN",
            "state": "RI",
            "postal_code": "028133322",
            "telephone_number": "401-364-1263",
            "fax_number": "401-364-5220"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7 Court St.",
            "address_purpose": "LOCATION",
            "city": "Bristol",
            "state": "RI",
            "postal_code": "02809",
            "country_code": "US",
            "telephone_number": "401-842-0009",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GASPARD",
        "first_name": "CRAIG",
        "middle_name": "WARREN",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-17",
        "last_updated": "2024-03-08",
        "certification_date": "2024-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "RI",
            "license": "ISW01148",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "1026428",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlestown, RI

Sources for this page

Verify at the official NPI Registry.