The Field Clinic, Inc.

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

THE FIELD CLINIC, INC.

Practice address

280 Broadway Lowr Level
Providence, RI 02903-3007

Phone

(401) 400-0159

NPI assigned

Sep 28, 2018

Last updated

Sep 28, 2018By 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

Christopher Fragale, LICSWNPI 1275751794

Title

Owner

Phone

(401) 400-0159

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.

• Christopher Charles Fragale, LICSW

  • Clinical Social Worker
  • East Providence, RI
  • NPI 1275751794
  NPD Authorized official

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

{
    "created_epoch": "1538092800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1538092800000",
    "number": "1588149231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "280 BROADWAY LOWR LEVEL",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029033007",
            "telephone_number": "401-400-0159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "280 BROADWAY LOWR LEVEL",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029033007",
            "telephone_number": "401-400-0159"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "165 Main St Unit 111B",
            "address_purpose": "LOCATION",
            "city": "Medway",
            "state": "MA",
            "postal_code": "020531584",
            "country_code": "US",
            "telephone_number": "401-400-0159",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "THE FIELD CLINIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-28",
        "last_updated": "2018-09-28",
        "status": "A",
        "authorized_official_last_name": "FRAGALE",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "401-400-0159",
        "authorized_official_credential": "LICSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Social Worker in Providence, RI
• Providers in Providence, 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 28, 2018; 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.