Organization Active NPI

South County Therapy LLC

  • Clinical Social Worker
  • Wakefield, RI
National Provider Identifier
1730625260
Registry record updated Jan 8, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
ISW00655 Issued in RI
Legal business name
SOUTH COUNTY THERAPY LLC
Practice address
23 North Rd
Suite a-24
Wakefield, RI 02879-8132
Phone
(401) 829-6164
NPI assigned
Jan 8, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2017

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

Authorized official

Name
Cynthia Lewis, LICSW
Title
Clinical Social Worker
Phone
(401) 829-6164

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X ISW00655 RI Primary

Addresses

Primary practice location

23 North Rd
Suite a-24
Wakefield, RI 02879-8132

Mailing address

PO Box 5707
Wakefield, RI 02880-5707
Phone (401) 829-6164

National Provider Directory

National Provider Directory

Locations

2843 S County Trl
Ste 120
East Greenwich, RI 02818
Phone (401) 480-2198

23 North Rd
Ste A24
Wakefield, RI 02879
Phone (401) 360-6204

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1483833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1483833600000",
    "number": "1730625260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5707",
            "city": "WAKEFIELD",
            "state": "RI",
            "postal_code": "028805707",
            "telephone_number": "401-829-6164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23 NORTH RD",
            "address_2": "SUITE A-24",
            "city": "WAKEFIELD",
            "state": "RI",
            "postal_code": "028798132",
            "telephone_number": "401-829-6164"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH COUNTY THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-08",
        "last_updated": "2017-01-08",
        "status": "A",
        "authorized_official_last_name": "LEWIS",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_title_or_position": "CLINICAL SOCIAL WORKER",
        "authorized_official_telephone_number": "401-829-6164",
        "authorized_official_credential": "LICSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "RI",
            "license": "ISW00655",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wakefield, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 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.