Individual provider Active NPI

Deborah Forcelli, LICSW

  • Clinical Social Worker
  • Warwick, RI
National Provider Identifier
1629120134
Registry record updated Jun 12, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
ISW01988 Issued in RI
Practice address
2756 Post Rd
The Kent Center
Warwick, RI 02886-3003
Phone
(401) 691-6000
Fax
(401) 738-7718
NPI assigned
Jan 17, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X ISW01988 RI Primary

Addresses

Primary practice location

2756 Post Rd
The Kent Center
Warwick, RI 02886-3003

Mailing address

26 Waldron Ave
Cranston, RI 02910-5315
Phone (401) 732-5656

Other identifiers 1

IdentifierTypeStateIssuer
DF59549MedicaidRI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
ISW01988RIMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1168992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1244764800000",
    "number": "1629120134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26 WALDRON AVE",
            "city": "CRANSTON",
            "state": "RI",
            "postal_code": "029105315",
            "telephone_number": "401-732-5656",
            "fax_number": "401-738-8634"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2756 POST RD",
            "address_2": "THE KENT CENTER",
            "city": "WARWICK",
            "state": "RI",
            "postal_code": "028863003",
            "telephone_number": "401-691-6000",
            "fax_number": "401-738-7718"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORCELLI",
        "first_name": "DEBORAH",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-17",
        "last_updated": "2009-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "RI",
            "license": "ISW01988",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "DF59549",
            "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 Jun 12, 2009; 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.