Active NPI
Kimberly Griffith, LICSW
- Clinical Social Worker
- Woonsocket, RI
National Provider Identifier
1407876451
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- ISW00137
- Practice address
- 55 John a Cummings Way
Woonsocket, RI 02895-3247 - Phone
- (401) 235-7000
- NPI assigned
- Jul 20, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | ISW00137 | RI | Primary |
Addresses
Primary practice location
55 John a Cummings Way
Woonsocket, RI 02895-3247
Mailing address
78 Mowry St
Mendon, MA 01756-1232
Phone (508) 478-5539
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0000026942 | Other | RI | BLUE CROSS |
| 411328 | Other | RI | BLUE CHIP |
| KB03414 | Medicaid | RI | |
| 6239195 | Other | RI | UNITED HEALTH |
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 |
|---|---|---|---|---|
| I20040216000353 | RI | Practitioner - Clinical Social Worker | 4385539816 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 1989
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
800 Clinton St
Woonsocket, RI 02895-3245
Phone (401) 235-7000
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ISW00137 | RI | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Care Alliance | Current | Accepting new patients | |
| Community Care Alliance | Past | Accepting new patients |
Locations
55 John a Cummings Way
Woonsocket, RI 02895
Phone (401) 766-3330
800 Clinton St
Woonsocket, RI 02895
Phone (401) 235-7469
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.
-
- Community/Behavioral Health Agency
- Woonsocket, RI
- NPI 1013288083
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153353600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1407876451",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "78 MOWRY ST",
"city": "MENDON",
"state": "MA",
"postal_code": "017561232",
"telephone_number": "508-478-5539"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "55 JOHN A CUMMINGS WAY",
"city": "WOONSOCKET",
"state": "RI",
"postal_code": "028953247",
"telephone_number": "401-235-7000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRIFFITH",
"first_name": "KIMBERLY",
"credential": "LICSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-20",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "RI",
"license": "ISW00137",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "0000026942",
"state": "RI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CHIP",
"identifier": "411328",
"state": "RI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "KB03414",
"state": "RI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTH",
"identifier": "6239195",
"state": "RI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Woonsocket, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.