Eleanor T Howard, LICSW

Individual provider Active NPI Clinical Social Worker · Portsmouth, RI

NPI 1760422018 · NPPES record last updated Mar 23, 2009

Key facts

NPI
1760422018
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Social Worker 1041C0700X
License
ISW01365 (RI)
Practice address
107 Clock Tower SQ
Portsmouth, RI 02871-1396
Phone
(401) 835-3694
NPI assigned
Jun 7, 2006
Sex
Female
Sole proprietor
No

Organizations & group practices 1

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.

Medicare Care Compare profile

Specialty
Clinical Social Worker
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

28 Maple Ave
Jamestown, RI 02835-1110
Phone (401) 683-2026

Medicare participation

Medicare fee-for-service enrollment
Enrolled in RI
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20060808000590 RI Practitioner - Clinical Social Worker 5193728327 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
ISW01365RIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Eleanor T. Howard, LLC Clinical Current
since Sep 14, 2011
Accepting new patients

Locations

99 Narragansett Ave
Jamestown, RI 02835
Phone (401) 683-2026

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X ISW01365 RI Yes

Addresses

Primary practice location

107 Clock Tower SQ
Portsmouth, RI 02871-1396

Mailing address

243 Wapping Rd
Portsmouth, RI 02871
Phone (401) 846-5787

Other identifiers

IdentifierTypeStateIssuer
EE45834MedicaidRI

Other providers in Portsmouth, RI

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

Sources for this page

Verify at the official NPI Registry.