Active NPI
Katherine H. Moriarty, LICSW
- Clinical Social Worker
- Newport, RI
National Provider Identifier
1407077977
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- ISW01866
- Practice address
- 19 Friendship St
Suite G-20
Newport, RI 02840-2200 - Phone
- (401) 845-4342
- Fax
- (401) 845-4359
- NPI assigned
- May 1, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 114078 | MA | |
| Clinical Social Worker | 1041C0700X | ISW01866 | RI | Primary |
Addresses
Primary practice location
19 Friendship St
Suite G-20
Newport, RI 02840-2200
Mailing address
19 Friendship St
Suite G-20
Newport, RI 02840-2200
Phone (401) 845-4342
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 114078 | MA | MD | Clinical Social Worker |
| ISW01866 | RI | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lifespan Physician Group, Inc. | Past | Accepting new patients | |
| Lifespan Physician Group, Inc. | Clinical | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Emergency Medicine Physician
- Providence, RI
- NPI 1568325678
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177977600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1191196800000",
"number": "1407077977",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19 FRIENDSHIP ST",
"address_2": "SUITE G-20",
"city": "NEWPORT",
"state": "RI",
"postal_code": "028402200",
"telephone_number": "401-845-4342",
"fax_number": "401-845-4359"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19 FRIENDSHIP ST",
"address_2": "SUITE G-20",
"city": "NEWPORT",
"state": "RI",
"postal_code": "028402200",
"telephone_number": "401-845-4342",
"fax_number": "401-845-4359"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MORIARTY",
"first_name": "KATHERINE",
"middle_name": "H.",
"credential": "LICSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-01",
"last_updated": "2007-10-01",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MA",
"license": "114078",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "RI",
"license": "ISW01866",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Newport, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.