Active NPI
Nancy L Jasper, LICSW
- Clinical Social Worker
- Middletown, RI
National Provider Identifier
1528178167
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- ISW00831
- Practice address
- 19 Valley Rd
Middletown, RI 02842-6306 - Phone
- (401) 841-8896
- Fax
- (401) 848-4191
- NPI assigned
- Aug 30, 2006
- 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 | ISW00831 | RI | Primary |
Addresses
Primary practice location
19 Valley Rd
Middletown, RI 02842-6306
Mailing address
395 Angell St
Unit 1
Providence, RI 02906-4016
Phone (401) 274-6072
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1021100 | Other | RI | NHP - GROUP NUMBER |
| 331435 | Other | RI | TRI-CARE |
| 406489 | Other | RI | BLUE CHIP |
| 62-52964 | Other | RI | UNITED BEHAVIORAL HEALTH |
| 30634-6 | Other | RI | BLUE CROSS/ BLUE SHIELD |
| 311822 | Other | RI | MAGELLAN- GROUP NUMBER |
| NJ03896 | Medicaid | RI |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156896000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1528178167",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "395 ANGELL ST",
"address_2": "UNIT 1",
"city": "PROVIDENCE",
"state": "RI",
"postal_code": "029064016",
"telephone_number": "401-274-6072"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19 VALLEY RD",
"city": "MIDDLETOWN",
"state": "RI",
"postal_code": "028426306",
"telephone_number": "401-841-8896",
"fax_number": "401-848-4191"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JASPER",
"first_name": "NANCY",
"middle_name": "L",
"name_prefix": "Miss",
"credential": "LICSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-30",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "RI",
"license": "ISW00831",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NHP - GROUP NUMBER",
"identifier": "1021100",
"state": "RI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRI-CARE",
"identifier": "331435",
"state": "RI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CHIP",
"identifier": "406489",
"state": "RI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED BEHAVIORAL HEALTH",
"identifier": "62-52964",
"state": "RI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS/ BLUE SHIELD",
"identifier": "30634-6",
"state": "RI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAGELLAN- GROUP NUMBER",
"identifier": "311822",
"state": "RI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "NJ03896",
"state": "RI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Middletown, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.