Individual provider Active NPI

Sheryl L Reedy, LICSW, MSW

  • Clinical Social Worker
  • Woonsocket, RI
National Provider Identifier
1770615569
Registry record updated Aug 5, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
ISW01469 Issued in RI
Practice address
191 Social St
Suite 590
Woonsocket, RI 02895-3240
Phone
(401) 769-4373
Fax
(401) 769-0397
NPI assigned
Mar 9, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X ISW01469 RI Primary
School Social Worker 1041S0200X 31792 RI

Addresses

Primary practice location

191 Social St
Suite 590
Woonsocket, RI 02895-3240

Mailing address

191 Social St
Suite 590
Woonsocket, RI 02895-3240
Phone (401) 769-4373

Other identifiers 1

IdentifierTypeStateIssuer
SR40829MedicaidRI

Other names 1

  • Sheryl L Rothstein Former name

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
ISW01469RIMDClinical Social Worker
31792RIMDSchool Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Psychotherapy Services of Ri Clinical PastSince Jan 1, 1990 Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1173398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1249430400000",
    "number": "1770615569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "191 SOCIAL ST",
            "address_2": "SUITE 590",
            "city": "WOONSOCKET",
            "state": "RI",
            "postal_code": "028953240",
            "telephone_number": "401-769-4373",
            "fax_number": "401-769-0397"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "191 SOCIAL ST",
            "address_2": "SUITE 590",
            "city": "WOONSOCKET",
            "state": "RI",
            "postal_code": "028953240",
            "telephone_number": "401-769-4373",
            "fax_number": "401-769-0397"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REEDY",
        "first_name": "SHERYL",
        "middle_name": "L",
        "name_prefix": "Mrs.",
        "credential": "LICSW, MSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-09",
        "last_updated": "2009-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "RI",
            "license": "ISW01469",
            "primary": true
        },
        {
            "code": "1041S0200X",
            "taxonomy_group": "",
            "desc": "Social Worker, School",
            "state": "RI",
            "license": "31792",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SR40829",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHERYL",
            "last_name": "ROTHSTEIN",
            "middle_name": "L",
            "credential": "MSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Woonsocket, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2009; 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.