Active NPI
Stella Breytman, MSW
- Clinical Social Worker
- Charlestown, RI
National Provider Identifier
1467977918
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Practice address
- 4705 Old Post Rd Unit a
Charlestown, RI 02813-1842 - Phone
- (401) 364-7705
- NPI assigned
- Aug 6, 2017
- Last updated
- Aug 6, 2017
- 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 | NU | Primary |
Addresses
Primary practice location
4705 Old Post Rd Unit a
Charlestown, RI 02813-1842
Mailing address
249 Roosevelt Ave Unit 205
Pawtucket, RI 02860-2134
Phone (401) 724-8400
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Psychotherapy by Stella, LLC | Current | Accepting new patients | |
| Teladoc Health Medical Group, P.a. | Clinical | Current | Accepting new patients |
| The Inner You | Clinical | Past | Accepting new patients |
Interoperability endpoints
- stellabreytman@tdh.allscriptsdirect.net
Organizations & group practices 4
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.
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- NPI 1225464209
-
- Clinical Social Worker
- Warwick, RI
- NPI 1386177566
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1501977600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1501977600000",
"number": "1467977918",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "249 ROOSEVELT AVE UNIT 205",
"city": "PAWTUCKET",
"state": "RI",
"postal_code": "028602134",
"telephone_number": "401-724-8400"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4705 OLD POST RD UNIT A",
"city": "CHARLESTOWN",
"state": "RI",
"postal_code": "028131842",
"telephone_number": "401-364-7705"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BREYTMAN",
"first_name": "STELLA",
"credential": "MSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-08-06",
"last_updated": "2017-08-06",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Charlestown, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2017; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.