Krystal Alves Amoroso, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

ISW02087 Issued in RI

Practice address

410 N Broadway
East Providence, RI 02914-2025

Phone

(401) 434-4920

Fax

(401) 434-4920

NPI assigned

May 30, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Krystal Bettencourt Alves Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1243641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1324944000000",
    "number": "1376779751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "46 N HULL ST",
            "address_2": "APT 1",
            "city": "EAST PROVIDENCE",
            "state": "RI",
            "postal_code": "029142631",
            "telephone_number": "401-573-7551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 N BROADWAY",
            "city": "EAST PROVIDENCE",
            "state": "RI",
            "postal_code": "029142025",
            "telephone_number": "401-434-4920",
            "fax_number": "401-434-4920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMOROSO",
        "first_name": "KRYSTAL",
        "middle_name": "ALVES",
        "name_prefix": "Mrs.",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-05-30",
        "last_updated": "2011-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "RI",
            "license": "ISW02087",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRYSTAL",
            "last_name": "ALVES",
            "middle_name": "BETTENCOURT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Crystal Alves, RN
• Joyce A Alves, DO
• Frank John Amalfitano Jr., M.D.
• Brittany Ambrose
• Veral Amin, MD
• Catherine Anane
• Amy Anderson, PT
• Ryan John Andrews, PMHNP-BC
• Valentin Antoci, MD, PHD
• Apria Healthcare LLC

• All providers in East Providence, RI
• Clinical Social Worker in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2011; 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.