Individual provider Active NPI

William Zinno, LICSW, LCDP

  • Clinical Social Worker
  • Providence, RI
National Provider Identifier
1669551404
Registry record updated Dec 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
ISW00963 Issued in RI
Practice address
345 Blackstone Blvd
Weld BLDG
Providence, RI 02906-4800
Phone
(401) 421-0060
Fax
(401) 421-6676
NPI assigned
Nov 3, 2006
Last updated
Dec 16, 2008By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 16, 2008

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 ISW00963 RI Primary

Addresses

Primary practice location

345 Blackstone Blvd
Weld BLDG
Providence, RI 02906-4800

Mailing address

345 Blackstone Blvd
Weld BLDG
Providence, RI 02906-4800
Phone (401) 421-0060

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
I20100808000003 RI Practitioner - Clinical Social Worker 4183757487 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
ISW00963RIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Rhode Island Counseling Associates LLC CurrentSince Jun 2, 2020 Accepting new patients

Locations

1150 Reservoir Ave
Ste 203
Cranston, RI 02920
Phone (401) 259-0340

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": "1162512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1229385600000",
    "number": "1669551404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "345 BLACKSTONE BLVD",
            "address_2": "WELD BLDG",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029064800",
            "telephone_number": "401-421-0060",
            "fax_number": "401-421-6676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "345 BLACKSTONE BLVD",
            "address_2": "WELD BLDG",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029064800",
            "telephone_number": "401-421-0060",
            "fax_number": "401-421-6676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZINNO",
        "first_name": "WILLIAM",
        "credential": "LICSW, LCDP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-03",
        "last_updated": "2008-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "RI",
            "license": "ISW00963",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Providence, RI

Sources for this page

Verify at the official NPI Registry.