Individual provider Active NPI

Dianne C Dugan, LICSW

  • Clinical Social Worker
  • Warwick, RI
National Provider Identifier
1780913350
Registry record updated Mar 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
ISW00146 Issued in RI
Practice address
50 Health LN
Warwick, RI 02886-2711
Phone
(401) 732-5656
Fax
(401) 738-8634
NPI assigned
Dec 10, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2020

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 114634 MA
Clinical Social Worker 1041C0700X ISW00146 RI Primary

Addresses

Primary practice location

50 Health LN
Warwick, RI 02886-2711

Mailing address

50 Health LN
Warwick, RI 02886-2711
Phone (774) 275-7861

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, RI2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20120413000637 MA Practitioner - Clinical Social Worker 1254592405 Practice locations: Hudson, MA
I20200424001370 RI Practitioner - Clinical Social Worker 1254592405 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Thrive Behavioral Health IncGroup PAC ID 4082528245, 44 clinicians

Practice addresses (Care Compare)

50 Health LN
Warwick, RI 02886-2711
Phone (401) 732-5656

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Thrive Behavioral Health, Inc. CurrentSince Feb 8, 2020 Accepting new patients
Pastoral Counseling Centers of Massachusetts, Inc PastSince Jul 2, 2013 Accepting new patients

Locations

50 Health Ln
Warwick, RI 02886
Phone (401) 738-4300

2756 Post Rd
Warwick, RI 02886
Phone (401) 691-6000

Organizations & group practices 2

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": "1260403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583193600000",
    "number": "1780913350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 HEALTH LN",
            "city": "WARWICK",
            "state": "RI",
            "postal_code": "028862711",
            "telephone_number": "774-275-7861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 HEALTH LN",
            "city": "WARWICK",
            "state": "RI",
            "postal_code": "028862711",
            "telephone_number": "401-732-5656",
            "fax_number": "401-738-8634"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUGAN",
        "first_name": "DIANNE",
        "middle_name": "C",
        "name_prefix": "Ms.",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-12-10",
        "last_updated": "2020-03-03",
        "certification_date": "2020-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "114634",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "RI",
            "license": "ISW00146",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warwick, RI

Sources for this page

Verify at the official NPI Registry.