Active NPI
Sheryl L Reedy, LICSW, MSW
- Clinical Social Worker
- Woonsocket, RI
National Provider Identifier
1770615569
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- ISW01469
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| SR40829 | Medicaid | RI |
Other names 1
- Sheryl L Rothstein
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
| License | State | Type | Specialty |
|---|---|---|---|
| ISW01469 | RI | MD | Clinical Social Worker |
| 31792 | RI | MD | School Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Psychotherapy Services of Ri | Clinical | Past | 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.
-
- Clinical Social Worker
- Woonsocket, RI
- NPI 1720264930
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.