Elizabeth Bogardus Ison, LICSW SOCIAL WORKER

Primary specialty

Social WorkerTaxonomy code 104100000X

License

ISW01309 Issued in RI

Practice address

24 Salt Pond Road
Ste D4
Wakefield, RI 02879

Phone

(401) 789-3694

Fax

(401) 789-3748

NPI assigned

Aug 2, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

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

Specialty

Clinical Social Worker

Education

Other, 1991

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Delta Consultants of South County IncGroup PAC ID 8426063553, 14 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Delta Consultants of South County Inc

  • Counselor
  • Wakefield, RI
  • NPI 1194877621

  Social Worker

  Medicare reassignment Care Compare group NPD
• Align Physical Therapy

  • Physical Therapy Clinic/Center
  • Wakefield, RI
  • NPI 1710367255
  NPD (past)
• Communities for People, Inc

  dba The Community Clinic

  • Community/Behavioral Health Agency
  • Boston, MA
  • NPI 1659442291
  NPD (past)

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

{
    "created_epoch": "1154476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1730196403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "165 NORTH ROAD",
            "city": "SOUTH KINGSTOWN",
            "state": "RI",
            "postal_code": "02879",
            "telephone_number": "401-782-2896",
            "fax_number": "401-789-3748"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 SALT POND ROAD",
            "address_2": "STE D4",
            "city": "WAKEFIELD",
            "state": "RI",
            "postal_code": "02879",
            "telephone_number": "401-789-3694",
            "fax_number": "401-789-3748"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ISON",
        "first_name": "ELIZABETH",
        "middle_name": "BOGARDUS",
        "credential": "LICSW SOCIAL WORKER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "RI",
            "license": "ISW01309",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joseph G Hyde, LMHC
• Jill Susan Iacono, APRN FNP-C
• Michael Raymond Iannuccilli, OD
• Savannah Iasimone
• Innovative Works (SafeCirc)
• Sherry Jackson, LICSW
• Susan Charlotte Jacobsen, LMHC
• James F. Griffin
• Elise N Jarvis
• Jee Q. Liang, M.D

• Social Worker in Wakefield, RI
• Providers in Wakefield, RI by specialty
• Social Worker in Rhode Island

• 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.
• 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.

Verify at the official NPI Registry.