Individual provider Active NPI

Kristeen Elizabeth Rocha, LICSW

  • Clinical Social Worker
  • Pawtucket, RI
National Provider Identifier
1679697841
Registry record updated Sep 14, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
ISW01986 Issued in RI
Practice address
200 Main St
Suite 210
Pawtucket, RI 02860-4131
Phone
(401) 728-1800
Fax
(401) 728-0182
NPI assigned
Mar 16, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 14, 2012

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 ISW01986 RI Primary

Addresses

Primary practice location

200 Main St
Suite 210
Pawtucket, RI 02860-4131

Mailing address

200 Main St
Suite 210
Pawtucket, RI 02860-4131
Phone (401) 728-1800

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
I20220516000902 RI Practitioner - Clinical Social Worker 4789061680 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2005
Medicare assignment
May accept Medicare assignment
Group practices
We Consulting and Psychotherapy CoGroup PAC ID 3870009103, 2 clinicians

Practice addresses (Care Compare)

400 Reservoir Ave
Suite 3K
Providence, RI 02907-3565
Phone (508) 812-0613

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
We Consulting & Psychotherapy Co Clinical CurrentSince Jan 1, 2026 Accepting new patients

Locations

400 Reservoir Ave
Ste 3K
Providence, RI 02907
Phone (401) 400-2826

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1174003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1347580800000",
    "number": "1679697841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 MAIN ST",
            "address_2": "SUITE 210",
            "city": "PAWTUCKET",
            "state": "RI",
            "postal_code": "028604131",
            "telephone_number": "401-728-1800",
            "fax_number": "401-728-0182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 MAIN ST",
            "address_2": "SUITE 210",
            "city": "PAWTUCKET",
            "state": "RI",
            "postal_code": "028604131",
            "telephone_number": "401-728-1800",
            "fax_number": "401-728-0182"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROCHA",
        "first_name": "KRISTEEN",
        "middle_name": "ELIZABETH",
        "name_prefix": "Mrs.",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-16",
        "last_updated": "2012-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "RI",
            "license": "ISW01986",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pawtucket, RI

Sources for this page

Verify at the official NPI Registry.