Individual provider Active NPI

Barbara M. Krementz, MSW LICSW ATR

  • Clinical Social Worker
  • Providence, RI
National Provider Identifier
1487814976
Registry record updated Mar 20, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
ISW01898 Issued in RI
Practice address
203 Governor Street
Providence, RI 02906
Phone
(401) 484-1841
Fax
(206) 457-1819
NPI assigned
Jun 10, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2015

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 0739071 NY
Clinical Social Worker 1041C0700X 114353 MA
Clinical Social Worker 1041C0700X ISW01898 RI Primary
Clinical Social Worker 1041C0700X 44SC05306600 NJ
Clinical Social Worker 1041C0700X 58.007407 CT
Clinical Social Worker 1041C0700X LC11781 ME

Addresses

Primary practice location

203 Governor Street
Providence, RI 02906

Mailing address

PO Box 2407
Providence, RI 02906-0407
Phone (401) 484-1841

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
0739071NYMDSocial Worker
58.007407CTMDClinical Social Worker
114353MAMDClinical Social Worker
LC11781MEMDClinical Social Worker
44SC05306600NJMDClinical Social Worker
ISW01898RIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Jewish Family Services PastSince Sep 4, 2008 Accepting new patients
Associated Specialists of Southeastern Connecticut, Inc. Clinical Past Accepting new patients

Organizations & group practices 2

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": "1213056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1426809600000",
    "number": "1487814976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2407",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029060407",
            "telephone_number": "401-484-1841",
            "fax_number": "206-457-1819"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 GOVERNOR STREET",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "02906",
            "telephone_number": "401-484-1841",
            "fax_number": "206-457-1819"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KREMENTZ",
        "first_name": "BARBARA",
        "middle_name": "M.",
        "name_prefix": "Ms.",
        "credential": "MSW LICSW ATR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-10",
        "last_updated": "2015-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "0739071",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "114353",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "RI",
            "license": "ISW01898",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05306600",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "58.007407",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ME",
            "license": "LC11781",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Providence, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2015; 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.