Katherine Michelle Lidestri

Primary specialty

CounselorTaxonomy code 101Y00000X

Practice address

43 Broad St Ste B
Westerly, RI 02891-1977

Phone

(401) 596-2302

NPI assigned

Jul 23, 2019

Sex

Female

Sole proprietor

No

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.

• New England Center for Anxiety LLC

  • Clinical Social Worker
  • Westerly, RI
  • NPI 1467903344
  NPD (past)

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 23, 2019.

{
    "created_epoch": "1563840000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563840000000",
    "number": "1477106961",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 INDIAN HEAD TRL",
            "city": "SOUTH KINGSTOWN",
            "state": "RI",
            "postal_code": "028792032",
            "telephone_number": "401-580-9046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43 BROAD ST STE B",
            "city": "WESTERLY",
            "state": "RI",
            "postal_code": "028911977",
            "telephone_number": "401-596-2302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIDESTRI",
        "first_name": "KATHERINE",
        "middle_name": "MICHELLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-23",
        "last_updated": "2019-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Autumn Leppert
• Claire Letizio, LCSW
• Lauren Ann Levanduski, NP
• Michele Levy, OD
• Catherine E Lewis
• Lisa Wholey LLC
• LMW Healthcare Inc.
• LMW Healthcare Inc.
• LMW Healthcare Inc.
• LMW Healthcare Inc.

• All providers in Westerly, RI
• Counselor in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2019; 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.