NPIMap

Organization Active NPI

Family Service Society of Pawtucket & Vicinity

Doing business as Family Service Society

  • Clinical Social Worker
  • Pawtucket, RI
National Provider Identifier
1629014865
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
FAMILY SERVICE SOCIETY OF PAWTUCKET & VICINITY
Doing business as
Family Service Society
Practice address
33 Summer St
Pawtucket, RI 02860-2964
Phone
(401) 723-2124
Fax
(401) 723-0566
NPI assigned
Jun 22, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. John J Carr, MSW, DCSWNPI 1841202207
Title
Executive Director
Phone
(401) 723-2124

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

33 Summer St
Pawtucket, RI 02860-2964

Mailing address

33 Summer St
Pawtucket, RI 02860-2964
Phone (401) 723-2124

Other names 1

  • Family Service Society Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1150934400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1629014865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33 SUMMER ST",
            "city": "PAWTUCKET",
            "state": "RI",
            "postal_code": "028602964",
            "telephone_number": "401-723-2124",
            "fax_number": "401-723-0566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33 SUMMER ST",
            "city": "PAWTUCKET",
            "state": "RI",
            "postal_code": "028602964",
            "telephone_number": "401-723-2124",
            "fax_number": "401-723-0566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY SERVICE SOCIETY OF PAWTUCKET & VICINITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CARR",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "401-723-2124",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MSW, DCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Family Service Society",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pawtucket, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.