Wise Self, LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

WISE SELF, LLC

Practice address

110 Lafayette St
Pawtucket, RI 02860-6012

Phone

(401) 263-3999

NPI assigned

Sep 23, 2024

Last updated

Sep 23, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Meredith Sinel, LICSWNPI 1487059895

Title

President

Phone

(401) 263-3399

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Meredith Sinel

  • Clinical Social Worker
  • Pawtucket, RI
  • NPI 1487059895
  NPD Authorized official

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

{
    "created_epoch": "1727049600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727049600000",
    "number": "1538986575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 LAFAYETTE ST",
            "city": "PAWTUCKET",
            "state": "RI",
            "postal_code": "028606012",
            "telephone_number": "401-263-3999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 LAFAYETTE ST",
            "city": "PAWTUCKET",
            "state": "RI",
            "postal_code": "028606012",
            "telephone_number": "401-263-3999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WISE SELF, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-23",
        "last_updated": "2024-09-23",
        "certification_date": "2024-09-22",
        "status": "A",
        "authorized_official_last_name": "SINEL",
        "authorized_official_first_name": "MEREDITH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "401-263-3399",
        "authorized_official_credential": "LICSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jane Mary Willis, LICSW
• Willow Street Medical Laboratory LLC
• Julie M Wilson, PH.D.
• Kar Wilson Jr.
• Janet Ann Wing, MSW
• Cristina Carneglia Wise
• Kathryn Elizabeth Wisnewski, PA
• Cynthia Kay Wisted, DPT
• With Grace Perinatal LLC
• Meredith Wojciechowski

• Clinical Social Worker in Pawtucket, RI
• Providers in Pawtucket, RI by specialty
• Clinical Social Worker in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2024; 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.