Active NPI
Michele Lavigne, LICSW
- Social Worker
- Coventry, RI
National Provider Identifier
1407226293
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- ISW00494
- Practice address
- 1 Carriage CV
Coventry, RI 02816-6829 - Phone
- (401) 681-4274
- NPI assigned
- Oct 6, 2015
- Sex
- Female
- Sole proprietor
- Yes
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.
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 1992
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Quality Behavioral Health
Practice addresses (Care Compare)
75 Lambert Lind Hwy
Warwick, RI 02886-1131
Phone 4016814274113
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160216002673 | RI | Practitioner - Clinical Social Worker | 6204131055 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ISW00494 | RI | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Quality Behavioral Health | Current | Accepting new patients |
Locations
75 Lambert Lind Hwy
Warwick, RI 02886
Phone (401) 463-5778
75 Lambert Lind Hwy
Ste 120100
Warwick, RI 02886
Phone (401) 681-4274
Interoperability endpoints
- michele.lavigne.1@15578.direct.athenahealth.com
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 |
|---|---|---|---|---|
| Social Worker | 104100000X | ISW00494 | RI | Primary |
Addresses
Primary practice location
1 Carriage CV
Coventry, RI 02816-6829
Mailing address
1 Carriage CV
Coventry, RI 02816-6829
NPI Registry JSON
{
"created_epoch": "1444089600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1444089600000",
"number": "1407226293",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 CARRIAGE CV",
"city": "COVENTRY",
"state": "RI",
"postal_code": "028166829"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 CARRIAGE CV",
"city": "COVENTRY",
"state": "RI",
"postal_code": "028166829",
"telephone_number": "401-681-4274"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAVIGNE",
"first_name": "MICHELE",
"credential": "LICSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-10-06",
"last_updated": "2015-10-06",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "RI",
"license": "ISW00494",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Coventry, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2015; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.