Benjamine Louise Choiniere – Clinical Social Worker

Key facts

NPI: 1740054840
Entity type: Individual (NPI type 1)
Primary specialty: Clinical Social Worker 1041C0700X
License: CSW02706 (RI)
Practice address: 225 Wilson Ave
Rumford, RI 02916-2323
Phone: (401) 699-1063
NPI assigned: Nov 8, 2023
Sex: Female
Sole proprietor: Yes

Medicare participation

Medicare fee-for-service enrollment: Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD): No

State licenses

License	State	Type	Specialty
CSW02706	RI	MD	Clinical Social Worker

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Clinical Social Worker	1041C0700X	CSW02706	RI	Yes

Addresses

Primary practice location

225 Wilson Ave
Rumford, RI 02916-2323

Mailing address

225 Wilson Ave
Rumford, RI 02916-2323
Phone (401) 699-1063

Other names

Benjamin Lewis Choiniere Former name

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Nov 8, 2023.

{
    "created_epoch": "1699401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699401600000",
    "number": "1740054840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 WILSON AVE",
            "city": "RUMFORD",
            "state": "RI",
            "postal_code": "029162323",
            "telephone_number": "401-699-1063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 WILSON AVE",
            "city": "RUMFORD",
            "state": "RI",
            "postal_code": "029162323",
            "telephone_number": "401-699-1063"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHOINIERE",
        "first_name": "BENJAMINE",
        "middle_name": "LOUISE",
        "credential": "MSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-11-08",
        "last_updated": "2023-11-08",
        "certification_date": "2023-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "RI",
            "license": "CSW02706",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BENJAMIN",
            "last_name": "CHOINIERE",
            "middle_name": "LEWIS",
            "credential": "MSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Rumford, RI

All providers in Rumford, RI · Clinical Social Worker in Rhode Island

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 8, 2023. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.