Active NPI
Susan Joan Raimondo-Banks, LCSW
- Clinical Social Worker
- West Warwick, RI
National Provider Identifier
1669539136
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- CSW00904
- Practice address
- 215 Washington St
West Warwick, RI 02893-5017 - Phone
- (401) 822-1360
- Fax
- (401) 823-4694
- NPI assigned
- Jan 3, 2007
- 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 | CSW00904 | RI | Primary |
Addresses
Primary practice location
215 Washington St
West Warwick, RI 02893-5017
Mailing address
8 Campbell St
West Warwick, RI 02893-5402
Phone (401) 823-6248
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 |
|---|---|---|---|
| CSW00904 | RI | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167782400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1221523200000",
"number": "1669539136",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8 CAMPBELL ST",
"city": "WEST WARWICK",
"state": "RI",
"postal_code": "028935402",
"telephone_number": "401-823-6248",
"fax_number": "401-823-4694"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "215 WASHINGTON ST",
"city": "WEST WARWICK",
"state": "RI",
"postal_code": "028935017",
"telephone_number": "401-822-1360",
"fax_number": "401-823-4694"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAIMONDO-BANKS",
"first_name": "SUSAN",
"middle_name": "JOAN",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-03",
"last_updated": "2008-09-16",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "RI",
"license": "CSW00904",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in West Warwick, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.