Nancy H. Embleton, LICSW
Individual provider Active NPI Clinical Social Worker · South Kingstown, RI
NPI 1629148663 · NPPES record last updated Aug 6, 2024
Key facts
- NPI
- 1629148663
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- ISW01553 (RI)
- Practice address
- 65 Village Square Dr Ste 302
South Kingstown, RI 02879-2569 - Phone
- (401) 785-0040
- NPI assigned
- Nov 8, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 4
Medicare Care Compare profile
- Specialty
- Clinical Social Worker
- Education
- Other, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Child and Family Psychiatry, Inc.
Practice addresses (Care Compare)
65 Village Square Dr
Suite 302
South Kingstown, RI 02879-2569
Phone (401) 785-0040
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in RI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050121000019 | RI | Practitioner - Clinical Social Worker | 7618926205 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ISW01553 | RI | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Child and Family Psychiatry, Inc. | Clinical | Current |
Accepting new patients |
| Gershon Psychological Associates, LLC | Past |
Accepting new patients | |
| South Shore Center Inc | Clinical | Past |
Accepting new patients |
| Gateway Healthcare Inc | Past |
Accepting new patients |
Locations
1485 S County Trl
Unit 107
East Greenwich, RI 02818
Phone (401) 258-1621
65 Village Square Dr
Ste 302
South Kingstown, RI 02879
Phone (844) 754-6564
1035 Post Rd
Warwick, RI 02888
Phone (401) 941-2830
400 Bald Hill Rd
Ste 530
Warwick, RI 02886
Phone (401) 737-9091
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | ISW01553 | RI | Yes |
Addresses
Primary practice location
65 Village Square Dr Ste 302
South Kingstown, RI 02879-2569
Mailing address
65 Village Square Dr Ste 302
South Kingstown, RI 02879-2569
Phone (401) 785-0040
Other practice location 1
400 Bald Hill Rd Ste 530
Warwick, RI 02886-6111
Phone (401) 349-3131
Other practice location 2
1485 S County Trl Unit 107
East Greenwich, RI 02818-1771
Phone (401) 785-0040
Other practice location 3
300 Toll Gate Rd Ste 300
Warwick, RI 02886-4416
Phone (401) 467-0333
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 62-26800 | Other | RI | UBH |
| 30625-2 | Other | RI | BLUE CROSS |
| 408778 | Other | RI | BLUE CHIP |
| NE32088 | Medicaid | RI |
Other providers in South Kingstown, RI
- Alexis Desjardins
- Dina Dicola
- Cameron Dimaria
- Dr. Joy Heafner
- Andria Duarte
- Jody Ann Eyre
- Mia Angelina Farley
- Francesco Fezzuoglio Jr.
- Caroline Furcolo
- Holly Garcia
All providers in South Kingstown, RI · Clinical Social Worker in Rhode Island
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 6, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.