Patricia Ann Surprenant, MSW,LICSW,ACSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

ISW01076 Issued in RI

Practice address

1676 East Main Road
Portsmouth, RI 02871-2440

Phone

(401) 864-0002

Fax

(508) 567-3376

NPI assigned

Oct 24, 2005

Sex

Female

Sole proprietor

Yes

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.

• Newport County Medical Treatment Office

  • Emergency Medicine Physician
  • Middletown, RI
  • NPI 1326190273
  NPD (past)
• Ocean State Urgent Care Center of Newport LLC

  • Urgent Care Clinic/Center
  • Middletown, RI
  • NPI 1235645334
  NPD (past)

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Oct 20, 2017.

{
    "created_epoch": "1130112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1508457600000",
    "number": "1699765446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4546",
            "city": "MIDDLETOWN",
            "state": "RI",
            "postal_code": "028427218",
            "telephone_number": "401-864-0002",
            "fax_number": "508-567-3376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1676 EAST MAIN ROAD",
            "city": "PORTSMOUTH",
            "state": "RI",
            "postal_code": "028712440",
            "telephone_number": "401-864-0002",
            "fax_number": "508-567-3376"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SURPRENANT",
        "first_name": "PATRICIA",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "MSW,LICSW,ACSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-10-24",
        "last_updated": "2017-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "1027841",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "RI",
            "license": "ISW01076",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9002881",
            "state": "RI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "809002881",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Joyce Ann Stein, PH.D.
• Shannon Lorraine Stocks
• Strength and Sport Physical Therapy, LLC
• Jeanne Sullivan
• Supportive Speech Therapy LLC
• Susan D Worthen
• Jessica Swain, OT
• Tom Duane Swanson, D.D..S.
• Matthew Sweeney, DPT
• Mary Louise Taft, MSW, LICSW

• All providers in Portsmouth, RI
• Clinical Social Worker in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.