Active NPI
Erica Lynn Ortell, LICSW
- Clinical Social Worker
- Portsmouth, RI
National Provider Identifier
1700910031
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- ISW01476
- Practice address
- 2444 E Main Rd
Portsmouth, RI 02871-4025 - Phone
- (401) 683-6210
- Fax
- (401) 683-6212
- NPI assigned
- Mar 16, 2007
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | ISW01476 | RI | Primary |
| Clinical Social Worker | 1041C0700X | 1032270 | MA |
Addresses
Primary practice location
2444 E Main Rd
Portsmouth, RI 02871-4025
Mailing address
44 Coral Ave
Portsmouth, RI 02871-4822
Phone (401) 714-7943
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 265854 | Other | RI | BCBS OF RI AND BLUECHIP |
| 6277241 | Other | RI | UNITED BEHAVIORAL HEALTH |
| 270651 | Other | RI | MENTAL HEALTH NETWORK |
| 1037470 | Other | RI | NEIGHBORHOOD HEALTH PLAN |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1032270 | MA | MD | Clinical Social Worker |
| ISW01476 | RI | MD | Clinical Social Worker |
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": "1183852800000",
"number": "1700910031",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "44 CORAL AVE",
"city": "PORTSMOUTH",
"state": "RI",
"postal_code": "028714822",
"telephone_number": "401-714-7943"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2444 E MAIN RD",
"city": "PORTSMOUTH",
"state": "RI",
"postal_code": "028714025",
"telephone_number": "401-683-6210",
"fax_number": "401-683-6212"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ORTELL",
"first_name": "ERICA",
"middle_name": "LYNN",
"credential": "LICSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-03-16",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "RI",
"license": "ISW01476",
"primary": true
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MA",
"license": "1032270",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF RI AND BLUECHIP",
"identifier": "265854",
"state": "RI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED BEHAVIORAL HEALTH",
"identifier": "6277241",
"state": "RI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MENTAL HEALTH NETWORK",
"identifier": "270651",
"state": "RI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NEIGHBORHOOD HEALTH PLAN",
"identifier": "1037470",
"state": "RI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Portsmouth, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.