Jeffrey Daniel Hirsch

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

ISW03684 Issued in RI

Practice address

640 George Washington Highway BLDG B Suite 103
Lincoln, RI 02865

Phone

(401) 286-1917

Fax

(866) 899-3402

NPI assigned

Nov 17, 2022

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 2

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

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Northern Rhode Island Cognitive Behavioral Therapy Inc

  • Clinical Social Worker
  • Lincoln, RI
  • NPI 1558752014
  Medicare reassignment NPD

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

{
    "created_epoch": "1668643200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668643200000",
    "number": "1649989799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 SNOWBERRY CT",
            "city": "SMITHFIELD",
            "state": "RI",
            "postal_code": "029174000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "640 GEORGE WASHINGTON HIGHWAY BLDG B SUITE 103",
            "city": "LINCOLN",
            "state": "RI",
            "postal_code": "02865",
            "telephone_number": "401-286-1917",
            "fax_number": "866-899-3402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HIRSCH",
        "first_name": "JEFFREY",
        "middle_name": "DANIEL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-11-17",
        "last_updated": "2022-11-17",
        "certification_date": "2022-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "RI",
            "license": "ISW03684",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "jeffhirsch@nricbt.com",
            "affiliation": "N",
            "endpointDescription": "company email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "640 George Washington Highway",
            "address_2": "Building B Suite 103",
            "city": "Lincoln",
            "state": "RI",
            "country_code": "US",
            "postal_code": "02865",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "https://pm.officeally.com",
            "affiliation": "N",
            "address_1": "640 George Washington Highway Bldg B Suite 103",
            "city": "Lincoln",
            "state": "RI",
            "country_code": "US",
            "postal_code": "02865",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Ada Hernandez
• Michelle Mackie Hervieux, LCSW
• Highland Dental Group, Inc
• Parker Hill
• Thomas Patrick Hines, MD
• Rebecca Hirschmann
• Hope & Strength Corp
• Hope Coast ABA, LLC
• Hope Counseling and Mediation Center LLC
• Hopehealth Visiting Nurse

• Clinical Social Worker in Lincoln, RI
• Providers in Lincoln, RI by specialty
• Clinical Social Worker in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.