Active NPI
Marta Rosol, LICSW
- Clinical Social Worker
- Pawtucket, RI
National Provider Identifier
1699010751
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- ISW02616
- Practice address
- 110 Slater Park Ave
Pawtucket, RI 02861-3214 - Phone
- (401) 316-4425
- Fax
- (401) 316-4425
- NPI assigned
- Nov 30, 2012
- 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 | ISW02616 | RI | Primary |
Addresses
Primary practice location
110 Slater Park Ave
Pawtucket, RI 02861-3214
Mailing address
110 Slater Park Ave
Pawtucket, RI 02861-3214
Phone (401) 316-4425
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2002
- Medicare assignment
- May accept Medicare assignment
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
110 Slater Park Ave
Pawtucket, RI 02861-3214
Phone (401) 316-4425
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Geriatric Clinical Services Inc | Clinical | Current | Accepting new patients |
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.
-
- Clinical Social Worker
- Pawtucket, RI
- NPI 1982297479
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1354233600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1459123200000",
"number": "1699010751",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "110 SLATER PARK AVE",
"city": "PAWTUCKET",
"state": "RI",
"postal_code": "028613214",
"telephone_number": "401-316-4425"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "110 SLATER PARK AVE",
"city": "PAWTUCKET",
"state": "RI",
"postal_code": "028613214",
"telephone_number": "401-316-4425",
"fax_number": "401-316-4425"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROSOL",
"first_name": "MARTA",
"credential": "LICSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-11-30",
"last_updated": "2016-03-28",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "RI",
"license": "ISW02616",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pawtucket, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.