Individual provider Active NPI

Sergio A. Velarde, LICSW

  • Clinical Social Worker
  • Middletown, RI
National Provider Identifier
1639412802
Registry record updated May 28, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
ISW02300 Issued in RI
Practice address
31 John Clarke Rd
Middletown, RI 02842-5641
Phone
(401) 849-2300
Fax
(401) 848-4156
NPI assigned
Apr 5, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 28, 2014

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 ISW02300 RI Primary

Addresses

Primary practice location

31 John Clarke Rd
Middletown, RI 02842-5641

Mailing address

31 John Clarke Rd
Middletown, RI 02842-5641
Phone (401) 849-2300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240803000350 ME Practitioner - Clinical Social Worker 9931336492 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
35.98 of 100Reported as group
Quality
0
Promoting interoperability
0
Improvement activities
20
Cost
78.28

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
ISW02300RIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Savida Health, PC CurrentSince Jul 25, 2024 Accepting new patients
Savida Health, PC CurrentSince Jul 25, 2024 Accepting new patients

Locations

409 Alfred St
Unit 4
Biddeford, ME 04005

409 Alfred St
Unit 45
Biddeford, ME 04005

24 Balsam Dr
Millinocket, ME 04462
Phone (207) 723-4994

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1365120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1401235200000",
    "number": "1639412802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31 JOHN CLARKE RD",
            "city": "MIDDLETOWN",
            "state": "RI",
            "postal_code": "028425641",
            "telephone_number": "401-849-2300",
            "fax_number": "401-848-4156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31 JOHN CLARKE RD",
            "city": "MIDDLETOWN",
            "state": "RI",
            "postal_code": "028425641",
            "telephone_number": "401-849-2300",
            "fax_number": "401-848-4156"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VELARDE",
        "first_name": "SERGIO",
        "middle_name": "A.",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-04-05",
        "last_updated": "2014-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "RI",
            "license": "ISW02300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Middletown, RI

Sources for this page

Verify at the official NPI Registry.