Individual provider Active NPI

Cynthia M. Lover, LICSW

  • Clinical Social Worker
  • Warwick, RI
National Provider Identifier
1669583795
Registry record updated Apr 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
01330 Issued in RI
Practice address
176 Toll Gate Rd
Warwick, RI 02886-4482
Phone
(401) 737-9240
Fax
(401) 739-6413
NPI assigned
Aug 31, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2024

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 01330 RI Primary

Addresses

Primary practice location

176 Toll Gate Rd
Warwick, RI 02886-4482

Mailing address

135 Norwood Ave
Cranston, RI 02905-3914
Phone (401) 784-3530

Other identifiers 1

IdentifierTypeStateIssuer
CL26928MedicaidRI

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address cwalbridge170549@direct.lifespan.org

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
I20180309000916 RI Practitioner - Clinical Social Worker 5193086023 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
01330RIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Coastal Medical Physicians, Inc. Clinical CurrentSince Apr 25, 2021 Accepting new patients
Coastal Medical Physicians, Inc. Clinical CurrentSince Apr 25, 2021 Accepting new patients

Locations

900 Warren Ave
Ste 401
East Providence, RI 02914
Phone (401) 330-2480

176 Toll Gate Rd
Ste 101
Warwick, RI 02886
Phone (401) 737-9240

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712620800000",
    "number": "1669583795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "135 NORWOOD AVE",
            "city": "CRANSTON",
            "state": "RI",
            "postal_code": "029053914",
            "telephone_number": "401-784-3530",
            "fax_number": "401-784-3549"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "176 TOLL GATE RD",
            "city": "WARWICK",
            "state": "RI",
            "postal_code": "028864482",
            "telephone_number": "401-737-9240",
            "fax_number": "401-739-6413"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOVER",
        "first_name": "CYNTHIA",
        "middle_name": "M.",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-31",
        "last_updated": "2024-04-09",
        "certification_date": "2024-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "RI",
            "license": "01330",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "CL26928",
            "state": "RI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cwalbridge170549@direct.lifespan.org",
            "affiliation": "N",
            "address_1": "176 Toll Gate Rd",
            "city": "Warwick",
            "state": "RI",
            "country_code": "US",
            "postal_code": "028864482",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Warwick, RI

Sources for this page

Verify at the official NPI Registry.