Active NPI
Rose Constance Bissonnette, LICSW
- Clinical Social Worker
- Warwick, RI
National Provider Identifier
1609997295
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- ISW01221
- Practice address
- 33 College Hill Rd Ste 30E
Warwick, RI 02886-2767 - Phone
- (401) 821-6070
- Fax
- (401) 821-6047
- NPI assigned
- Apr 2, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 | ISW01221 | RI | Primary |
Addresses
Primary practice location
33 College Hill Rd Ste 30E
Warwick, RI 02886-2767
Mailing address
33 College Hill Rd Ste 30E
Warwick, RI 02886-2767
Phone (401) 821-6070
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 408623 | Other | RI | BLUE CHIP |
| 30184-6 | Other | RI | BLUE CROSS & BLUE SHIELD |
| 6250114 | Other | RI | UNITED BEHAVIORAL HEALTH |
| 1021900 | Other | RI | BEACON HEALTH STRATEGIES |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 1988
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
33 College Hill Rd
Suite 30E
Warwick, RI 02886-2767
Phone (401) 821-6070
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ISW01221 | RI | MD | Clinical Social Worker |
Organizations & group practices 1
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.
-
- Mental Health Counselor
- Warwick, RI
- NPI 1154459642
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175472000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1557878400000",
"number": "1609997295",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "33 COLLEGE HILL RD STE 30E",
"city": "WARWICK",
"state": "RI",
"postal_code": "028862767",
"telephone_number": "401-821-6070",
"fax_number": "401-821-6047"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "33 COLLEGE HILL RD STE 30E",
"city": "WARWICK",
"state": "RI",
"postal_code": "028862767",
"telephone_number": "401-821-6070",
"fax_number": "401-821-6047"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BISSONNETTE",
"first_name": "ROSE",
"middle_name": "CONSTANCE",
"credential": "LICSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-04-02",
"last_updated": "2019-05-15",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "RI",
"license": "ISW01221",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CHIP",
"identifier": "408623",
"state": "RI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS & BLUE SHIELD",
"identifier": "30184-6",
"state": "RI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED BEHAVIORAL HEALTH",
"identifier": "6250114",
"state": "RI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BEACON HEALTH STRATEGIES",
"identifier": "1021900",
"state": "RI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Warwick, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.