Individual provider Active NPI

Suzanne Marie Raposa, LICSW, MSW

  • Clinical Social Worker
  • East Greenwich, RI
National Provider Identifier
1497375430
Registry record updated Apr 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
ISW02930 Issued in RI
Practice address
701 Major Potter Rd
East Greenwich, RI 02818-1684
Phone
(401) 654-0797
NPI assigned
Apr 20, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X ISW02930 RI Primary

Addresses

Primary practice location

701 Major Potter Rd
East Greenwich, RI 02818-1684

Mailing address

701 Major Potter Rd
East Greenwich, RI 02818-1684
Phone (401) 654-0797

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
I20210525000619 RI Practitioner - Clinical Social Worker 6103225115 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Comprehensive Community Action Inc 26 clinicians

Practice addresses (Care Compare)

1090 Cranston St
Cranston, RI 02920-7323
Phone (401) 943-1981

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
ISW02930RIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Comprehensive Community Action, Inc. CurrentSince May 15, 2021 Accepting new patients
Comprehensive Community Action, Inc CurrentSince May 15, 2021 Accepting new patients

Locations

191 MacArthur Blvd
#2
Coventry, RI 02816

311 Doric Ave
Cranston, RI 02910
Phone (401) 467-9610

1090 Cranston St
Cranston, RI 02920
Phone (401) 467-9610

206 Buttonwoods Ave
Warwick, RI 02886
Phone (401) 732-9090

Organizations & group practices 6

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": "1587340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587340800000",
    "number": "1497375430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 MAJOR POTTER RD",
            "city": "EAST GREENWICH",
            "state": "RI",
            "postal_code": "028181684",
            "telephone_number": "401-654-0797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 MAJOR POTTER RD",
            "city": "EAST GREENWICH",
            "state": "RI",
            "postal_code": "028181684",
            "telephone_number": "401-654-0797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAPOSA",
        "first_name": "SUZANNE",
        "middle_name": "MARIE",
        "credential": "LICSW, MSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-20",
        "last_updated": "2020-04-20",
        "certification_date": "2020-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "RI",
            "license": "ISW02930",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Greenwich, RI

Sources for this page

Verify at the official NPI Registry.