Justin Ryan Feeney, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

ISW03685 Issued in RI

Practice address

40 Samoset Ave
Providence, RI 02908-3816

Phone

(774) 955-2663

NPI assigned

Apr 27, 2023

Last updated

Apr 27, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Merit-based Incentive Payment System (MIPS)

Final score

69.09 of 100Reported as group

Quality

73.07

Promoting interoperability

0

Improvement activities

40

Cost

73.89

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1682553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682553600000",
    "number": "1790473619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 SAMOSET AVE",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029083816",
            "telephone_number": "774-955-2663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 SAMOSET AVE",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029083816",
            "telephone_number": "774-955-2663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FEENEY",
        "first_name": "JUSTIN",
        "middle_name": "RYAN",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-04-27",
        "last_updated": "2023-04-27",
        "certification_date": "2023-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "RI",
            "license": "ISW03685",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Fede, PH.D.
• Jeffrey Feden, MD
• Federal Hill Podiatry Group (Joseph A DeCesare DPM)
• Christopher L Federico, PHARMD
• Erick Jonathan Fedorenko, PHD
• Tamara Feingold-Link, MD
• Alan B Feinstein, MA
• Pratarnporn Feinstein, M.D.
• Lloyd R Feit, MD
• Elliot Jason Feld, MD

• 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 Apr 27, 2023; 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.