Active NPI
Kerri L Mowbray, LICSW
- Clinical Social Worker
- Warwick, RI
National Provider Identifier
1366734089
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- ISW02142
- Practice address
- 30 Bunting Rd
Warwick, RI 02889-3706 - Phone
- (401) 527-3102
- NPI assigned
- May 12, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | ISW02142 | RI | Primary |
Addresses
Primary practice location
30 Bunting Rd
Warwick, RI 02889-3706
Mailing address
30 Bunting Rd
Warwick, RI 02889-3706
Phone (401) 921-1679
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in RI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ISW02142 | RI | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Inner You of Massachusetts | Clinical | Current | Accepting new patients |
| The Inner You | Clinical | Current | Accepting new patients |
Locations
1023 Post Rd
Warwick, RI 02888
Phone (401) 773-7116
Organizations & group practices 3
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.
-
- Clinical Social Worker
- Warwick, RI
- NPI 1225464209
-
- Clinical Social Worker
- Warwick, RI
- NPI 1386177566
-
- Clinical Social Worker
- Seekonk, MA
- NPI 1891412763
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1305158400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1305158400000",
"number": "1366734089",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "30 BUNTING RD",
"city": "WARWICK",
"state": "RI",
"postal_code": "028893706",
"telephone_number": "401-921-1679"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "30 BUNTING RD",
"city": "WARWICK",
"state": "RI",
"postal_code": "028893706",
"telephone_number": "401-527-3102"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOWBRAY",
"first_name": "KERRI",
"middle_name": "L",
"name_prefix": "Mrs.",
"credential": "LICSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-05-12",
"last_updated": "2011-05-12",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "RI",
"license": "ISW02142",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Warwick, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.