Active NPI
Albert D Iannotti Jr., LCSW
- Clinical Social Worker
- Pawtucket, RI
National Provider Identifier
1457601619
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- CSW01339
- Practice address
- 203 Concord St
Suite 335
Pawtucket, RI 02860-3477 - Phone
- (401) 243-7456
- Fax
- (401) 365-6860
- NPI assigned
- Sep 14, 2012
- Sex
- Male
- 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 | CSW01339 | RI | Primary |
Addresses
Primary practice location
203 Concord St
Suite 335
Pawtucket, RI 02860-3477
Mailing address
203 Concord St
Suite 335
Pawtucket, RI 02860-3477
Phone (401) 243-7456
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CSW01339 | Other | RI | SOCIAL WORK LICENSE NUMBER |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CSW01339 | RI | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1347580800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1347580800000",
"number": "1457601619",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "203 CONCORD ST",
"address_2": "SUITE 335",
"city": "PAWTUCKET",
"state": "RI",
"postal_code": "028603477",
"telephone_number": "401-243-7456",
"fax_number": "401-365-6860"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "203 CONCORD ST",
"address_2": "SUITE 335",
"city": "PAWTUCKET",
"state": "RI",
"postal_code": "028603477",
"telephone_number": "401-243-7456",
"fax_number": "401-365-6860"
}
],
"practiceLocations": [],
"basic": {
"last_name": "IANNOTTI",
"first_name": "ALBERT",
"middle_name": "D",
"name_prefix": "Mr.",
"name_suffix": "Jr.",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-09-14",
"last_updated": "2012-09-14",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "RI",
"license": "CSW01339",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SOCIAL WORK LICENSE NUMBER",
"identifier": "CSW01339",
"state": "RI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Pawtucket, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.