Suzana Gertrudes, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

ISW01522 Issued in RI

Practice address

261 Wickenden St
Providence, RI 02903-4422

Phone

(401) 374-1460

NPI assigned

May 16, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Suzana Dasilva Former name

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

Boston University School of Medicine, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1147737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1770534356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "204B GOVERNOR ST",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029063246",
            "telephone_number": "401-374-1460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "261 WICKENDEN ST",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029034422",
            "telephone_number": "401-374-1460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GERTRUDES",
        "first_name": "SUZANA",
        "name_prefix": "Mrs.",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "RI",
            "license": "ISW01522",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUZANA",
            "last_name": "DASILVA",
            "credential": "LICSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kristen E Geremia
• Thomas Germano, MD
• Nicholas Gernt, ARPN
• Joshua Freeman Gerry, PA
• Boris Gershman, M.D.
• Caroline Gerulskis, PA-C
• Jordan Sonn Gervasio
• Sharareh Gharib, RN
• Sadollah Ghasempour Soleymani
• Cailyne Ghazarian, PA

• Clinical Social Worker in Providence, RI
• Providers in Providence, RI by specialty
• Clinical 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.