John E Anzivino

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

ISW00123 Issued in RI

Legal business name

JOHN E ANZIVINO

Practice address

267 Main St
East Greenwich, RI 02818-3750

Phone

(401) 225-2224

NPI assigned

May 24, 2013

Last updated

May 24, 2013By 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

Mr. John Edward Anzivino, MSW, ACSW

Title

Clinical Social Worker

Phone

(401) 225-2224

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1369353600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1369353600000",
    "number": "1588001085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 SURREY DR",
            "city": "JOHNSTON",
            "state": "RI",
            "postal_code": "029192073",
            "telephone_number": "401-225-2224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "267 MAIN ST",
            "city": "EAST GREENWICH",
            "state": "RI",
            "postal_code": "028183750",
            "telephone_number": "401-225-2224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN E ANZIVINO",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-24",
        "last_updated": "2013-05-24",
        "status": "A",
        "authorized_official_last_name": "ANZIVINO",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "CLINICAL SOCIAL WORKER",
        "authorized_official_telephone_number": "401-225-2224",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MSW, ACSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "RI",
            "license": "ISW00123",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Social Worker in East Greenwich, RI
• Providers in East Greenwich, 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 May 24, 2013; 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.