Active NPI
Julie Anna-Marie Panton, MSW, LICSW
- Clinical Social Worker
- Providence, RI
National Provider Identifier
1760940449
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- ISW02858
- Practice address
- 205 Waterman St
Ste 205
Providence, RI 02906-4313 - Phone
- (401) 206-4199
- Fax
- (401) 217-5471
- NPI assigned
- Mar 12, 2019
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | ISW02858 | RI | Primary |
Addresses
Primary practice location
205 Waterman St
Ste 205
Providence, RI 02906-4313
Mailing address
205 Waterman St
Ste 205
Providence, RI 02906-4313
Phone (401) 206-4199
Other practice location 1
249 Roosevelt Ave
Pawtucket, RI 02860-2134
Phone (401) 475-4015
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jpanton@rialternativeacademy.org | Direct |
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 |
|---|---|---|---|
| ISW02858 | RI | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Serenity Counseling LLC | Clinical | Current | Accepting new patients |
Locations
205 Waterman St
Ste 205
Providence, RI 02906
Phone (401) 206-4199
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.
-
- Clinical Social Worker
- Providence, RI
- NPI 1437750684
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1552348800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1634256000000",
"number": "1760940449",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "205 WATERMAN ST",
"address_2": "STE 205",
"city": "PROVIDENCE",
"state": "RI",
"postal_code": "029064313",
"telephone_number": "401-206-4199",
"fax_number": "401-217-5471"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "205 WATERMAN ST",
"address_2": "STE 205",
"city": "PROVIDENCE",
"state": "RI",
"postal_code": "029064313",
"telephone_number": "401-206-4199",
"fax_number": "401-217-5471"
}
],
"practiceLocations": [
{
"address_1": "249 Roosevelt Ave",
"address_purpose": "LOCATION",
"city": "Pawtucket",
"state": "RI",
"postal_code": "028602134",
"country_code": "US",
"telephone_number": "401-475-4015",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PANTON",
"first_name": "JULIE",
"middle_name": "ANNA-MARIE",
"credential": "MSW, LICSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-03-12",
"last_updated": "2021-10-15",
"certification_date": "2021-10-15",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "RI",
"license": "ISW02858",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jpanton@rialternativeacademy.org",
"affiliation": "N",
"endpointDescription": "email address",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "249 Roosevelt Ave",
"city": "Pawtucket",
"state": "RI",
"country_code": "US",
"postal_code": "028602134",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Providence, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.