Active NPI
Susan F Stanhope, LICSW
- Clinical Social Worker
- Wakefield, RI
National Provider Identifier
1679640452
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- ISW01161
- Practice address
- 212 Main St
Wakefield, RI 02879 - Phone
- (401) 742-1765
- NPI assigned
- Nov 29, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 | ISW01161 | RI | Primary |
Addresses
Primary practice location
212 Main St
Wakefield, RI 02879
Mailing address
18 Starlight Dr
Wakefield, RI 02879-7808
Phone (401) 742-1765
Other identifiers 9
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 140001161RI01 | Other | ANTHEM | |
| 140001161RI02 | Other | ANTHEM | |
| 22351-9 | Other | RI | BLUE CROSS |
| 308018 | Other | MHN | |
| 359528500 | Other | OFFICE OF WORKERS COMP | |
| 407818 | Other | RI | BLUE CHIP COORDINATED HEA |
| 62-48888 | Other | UNITED BEHAVIORAL HEALTH | |
| IP308353 | Other | MAGELLAN HEALTH SERVICES | |
| 1020660 | Other | BECON HEALTH STRATEGIES |
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)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164758400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1353369600000",
"number": "1679640452",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18 STARLIGHT DR",
"city": "WAKEFIELD",
"state": "RI",
"postal_code": "028797808",
"telephone_number": "401-742-1765"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "212 MAIN ST",
"city": "WAKEFIELD",
"state": "RI",
"postal_code": "02879",
"telephone_number": "401-742-1765"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STANHOPE",
"first_name": "SUSAN",
"middle_name": "F",
"credential": "LICSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-11-29",
"last_updated": "2012-11-20",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "RI",
"license": "ISW01161",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "140001161RI01",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "140001161RI02",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "22351-9",
"state": "RI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MHN",
"identifier": "308018",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OFFICE OF WORKERS COMP",
"identifier": "359528500",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CHIP COORDINATED HEA",
"identifier": "407818",
"state": "RI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED BEHAVIORAL HEALTH",
"identifier": "62-48888",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAGELLAN HEALTH SERVICES",
"identifier": "IP308353",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BECON HEALTH STRATEGIES",
"identifier": "1020660",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Wakefield, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.