Individual provider Active NPI

Mary Jean Zaroogian, LICSW

  • Clinical Social Worker
  • Warwick, RI
National Provider Identifier
1649380247
Registry record updated Apr 20, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CSW00555 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
Aug 30, 2006
Last updated
Apr 20, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2016

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 CSW00555 RI Primary

Addresses

Primary practice location

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

Mailing address

190 Fiat Ave
Cranston, RI 02910
Phone (401) 944-8634

Other identifiers 3

IdentifierTypeStateIssuer
M236056MedicaidRI
409522OtherRIBLUE CHIP
30387OtherRIBLUE CROSS

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210617001855 RI Practitioner - Clinical Social Worker 1850791567 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Thrive Behavioral Health IncGroup PAC ID 4082528245, 44 clinicians

Practice addresses (Care Compare)

2756 Post Rd
Warwick, RI 02886-3077
Phone (401) 691-6000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CSW00555RIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Thrive Behavioral Health, Inc. CurrentSince Apr 1, 2021 Accepting new patients

Locations

2756 Post Rd
Warwick, RI 02886
Phone (401) 691-6000

50 Health Ln
Warwick, RI 02886
Phone (401) 738-4300

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1461110400000",
    "number": "1649380247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "190 FIAT AVE",
            "city": "CRANSTON",
            "state": "RI",
            "postal_code": "02910",
            "telephone_number": "401-944-8634"
        },
        {
            "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": "ZAROOGIAN",
        "first_name": "MARY JEAN",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-30",
        "last_updated": "2016-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "RI",
            "license": "CSW00555",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "M236056",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CHIP",
            "identifier": "409522",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "30387",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Warwick, RI

Sources for this page

Verify at the official NPI Registry.