Individual provider Active NPI

Emma Wolfgang-Smith, LCSW

  • Clinical Social Worker
  • Jamestown, RI
National Provider Identifier
1417495128
Registry record updated Feb 2, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CSW01961 Issued in RI
Practice address
64 Hamilton Ave
Jamestown, RI 02835-1275
Phone
(401) 864-9996
NPI assigned
Feb 2, 2017
Last updated
Feb 2, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X CSW01961 RI Primary

Addresses

Primary practice location

64 Hamilton Ave
Jamestown, RI 02835-1275

Mailing address

64 Hamilton Ave
Jamestown, RI 02835-1275

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190730000858 RI Practitioner - Clinical Social Worker 4981930997 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2016
Medicare assignment
May accept Medicare assignment
Group practices
Narragansett Indian TribeGroup PAC ID 3072406297, 4 clinicians

Practice addresses (Care Compare)

51 Old Mill Rd
Charlestown, RI 02813-3322
Phone (401) 364-1268

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CSW01961RIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Narragansett Indian Tribe CurrentSince Sep 11, 2025 Accepting new patients

Locations

51 Old Mill Rd
Charlestown, RI 02813
Phone (401) 364-1263

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1485993600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485993600000",
    "number": "1417495128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "64 HAMILTON AVE",
            "city": "JAMESTOWN",
            "state": "RI",
            "postal_code": "028351275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "64 HAMILTON AVE",
            "city": "JAMESTOWN",
            "state": "RI",
            "postal_code": "028351275",
            "telephone_number": "401-864-9996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOLFGANG-SMITH",
        "first_name": "EMMA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-02-02",
        "last_updated": "2017-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "RI",
            "license": "CSW01961",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jamestown, RI

Sources for this page

Verify at the official NPI Registry.