Active NPI
Michelle McCombe, LICSW
- Clinical Social Worker
- Middletown, RI
National Provider Identifier
1649429747
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- ISW01985
- Practice address
- 76 Hammerlund Way
Tech 3
Middletown, RI 02842-5640 - Phone
- (401) 207-5733
- Fax
- (401) 845-8933
- NPI assigned
- Sep 12, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | ISW01985 | RI | Primary |
Addresses
Primary practice location
76 Hammerlund Way
Tech 3
Middletown, RI 02842-5640
Mailing address
31 John Clarke Road
Middletown, RI 02842-5641
Phone (401) 207-5733
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| MM77400 | Medicaid | RI |
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
| License | State | Type | Specialty |
|---|---|---|---|
| ISW01985 | RI | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1221177600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1266969600000",
"number": "1649429747",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "31 JOHN CLARKE ROAD",
"city": "MIDDLETOWN",
"state": "RI",
"postal_code": "028425641",
"telephone_number": "401-207-5733",
"fax_number": "401-845-8933"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "76 HAMMERLUND WAY",
"address_2": "TECH 3",
"city": "MIDDLETOWN",
"state": "RI",
"postal_code": "028425640",
"telephone_number": "401-207-5733",
"fax_number": "401-845-8933"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCCOMBE",
"first_name": "MICHELLE",
"name_prefix": "Ms.",
"credential": "LICSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-09-12",
"last_updated": "2010-02-24",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "RI",
"license": "ISW01985",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "MM77400",
"state": "RI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Middletown, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.