NPIMap

Organization Active NPI

New England Center for Anxiety LLC

  • Clinical Social Worker
  • Westerly, RI
National Provider Identifier
1467903344
Registry record updated Oct 17, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
ISW02592 Issued in RI
Legal business name
NEW ENGLAND CENTER FOR ANXIETY LLC
Practice address
43 Broad St
Suite B
Westerly, RI 02891-1977
Phone
(401) 596-2302
Fax
(401) 596-0088
NPI assigned
Oct 17, 2016
Last updated
Oct 17, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2016

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

Authorized official

Name
Marie-Claire Cornillon, LICSWNPI 1245782911
Title
Social Worker
Phone
(617) 504-1208

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X ISW02592 RI Primary

Addresses

Primary practice location

43 Broad St
Suite B
Westerly, RI 02891-1977

Mailing address

43 Broad St
Suite B
Westerly, RI 02891-1977
Phone (401) 596-2302

National Provider Directory

National Provider Directory
Tax ID family
New England Center for Anxiety LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

43 Broad St
Ste B
Westerly, RI 02891
Phone (401) 596-2302

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1476662400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476662400000",
    "number": "1467903344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43 BROAD ST",
            "address_2": "SUITE B",
            "city": "WESTERLY",
            "state": "RI",
            "postal_code": "028911977",
            "telephone_number": "401-596-2302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43 BROAD ST",
            "address_2": "SUITE B",
            "city": "WESTERLY",
            "state": "RI",
            "postal_code": "028911977",
            "telephone_number": "401-596-2302",
            "fax_number": "401-596-0088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW ENGLAND CENTER FOR ANXIETY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-17",
        "last_updated": "2016-10-17",
        "status": "A",
        "authorized_official_last_name": "CORNILLON",
        "authorized_official_first_name": "MARIE-CLAIRE",
        "authorized_official_title_or_position": "SOCIAL WORKER",
        "authorized_official_telephone_number": "617-504-1208",
        "authorized_official_credential": "LICSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "RI",
            "license": "ISW02592",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westerly, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.