Individual provider Active NPI

Judith Lee-Day Little, LICSW

  • Clinical Social Worker
  • Cranston, RI
National Provider Identifier
1477998458
Registry record updated Aug 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
ISW03093 Issued in RI
Practice address
45 Sockanosset Cross Rd Ste 4
Cranston, RI 02920-5529
Phone
(401) 383-4885
NPI assigned
May 6, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X CSW01686 RI
Clinical Social Worker 1041C0700X CSW01686 RI
Clinical Social Worker 1041C0700X ISW03093 RI Primary

Addresses

Primary practice location

45 Sockanosset Cross Rd Ste 4
Cranston, RI 02920-5529

Mailing address

135 Main St
Manville, RI 02838-1401
Phone (401) 688-2368

Other practice location 1

135 Main St
Manville, RI 02838-1401
Phone (401) 688-2368

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
I20141203000700 RI Practitioner - Clinical Social Worker 1557683505 Reassigns benefits to 1 organization
Practice locations: Providence, RI

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1 Richmond SQ
Suite 333W
Providence, RI 02906-5156
Phone (401) 688-2368

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Fellowship Health Resources, Inc CurrentSince Feb 12, 2018 Accepting new patients

Locations

45 Sockanosset Cross Rd
Ste 4
Cranston, RI 02920
Phone (401) 383-4885

24 Albion Rd
Ste 420
Lincoln, RI 02865
Phone (401) 333-3980

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1367798400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597190400000",
    "number": "1477998458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "135 MAIN ST",
            "city": "MANVILLE",
            "state": "RI",
            "postal_code": "028381401",
            "telephone_number": "401-688-2368"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 SOCKANOSSET CROSS RD STE 4",
            "city": "CRANSTON",
            "state": "RI",
            "postal_code": "029205529",
            "telephone_number": "401-383-4885"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "135 Main St",
            "address_purpose": "LOCATION",
            "city": "Manville",
            "state": "RI",
            "postal_code": "028381401",
            "country_code": "US",
            "telephone_number": "401-688-2368",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LITTLE",
        "first_name": "JUDITH",
        "middle_name": "LEE-DAY",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-05-06",
        "last_updated": "2020-08-12",
        "certification_date": "2020-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "RI",
            "license": "CSW01686",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "RI",
            "license": "CSW01686",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "RI",
            "license": "ISW03093",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cranston, RI

Sources for this page

Verify at the official NPI Registry.