Elisabeth Karen Modestino, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

ISW02948 Issued in RI

Practice address

386 Stanley St
Fall River, MA 02720-6009

Phone

(508) 324-3550

Fax

(508) 676-5671

NPI assigned

Apr 27, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

Specialty

Clinical Social Worker

Education

Other, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Compassionate Counseling CompanyGroup PAC ID 9830474618, 9 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Compassionate Counseling Company

  • Community/Behavioral Health Agency
  • Fall River, MA
  • NPI 1790222768
  Medicare reassignment Care Compare group NPD
• The Commonwealth of Massachusetts

  • Psychiatric Hospital
  • Fall River, MA
  • NPI 1194803288
  Medicare reassignment NPD
• East Bay Community Action Program

  • Community Health Clinic/Center
  • Riverside, RI
  • NPI 1609925122
  Medicare reassignment NPD
• The Commonwealth of Massachusetts

  • General Acute Care Hospital
  • Holyoke, MA
  • NPI 1427111574
  NPD
• The Commonwealth of Massachusetts

  • Psychiatric Hospital
  • Fall River, MA
  • NPI 1700964947
  NPD
• East Bay Community Action Program

  • Community/Behavioral Health Agency
  • Riverside, RI
  • NPI 1609239920
  NPD

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

{
    "created_epoch": "1272326400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1558051200000",
    "number": "1801113014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "386 STANLEY ST",
            "city": "FALL RIVER",
            "state": "MA",
            "postal_code": "027206009",
            "telephone_number": "508-324-3550",
            "fax_number": "508-676-5671"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "386 STANLEY ST",
            "city": "FALL RIVER",
            "state": "MA",
            "postal_code": "027206009",
            "telephone_number": "508-324-3550",
            "fax_number": "508-676-5671"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MODESTINO",
        "first_name": "ELISABETH",
        "middle_name": "KAREN",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-04-27",
        "last_updated": "2019-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "117393",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "RI",
            "license": "ISW02948",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John R Mitchell, LICSW
• Susan Anne Mitchell, LICSW
• Jessica Mkpanam, MSW
• Mikyong Mobilia, CPNP-PC
• Modern Dermatology of Massachusetts, PLLC
• Elizabeth Modiclan
• Carla Moe, LICSW
• Patricia Moisan
• Gerald J Monchik, MD
• Carolyn A Mongeon, M.D.

• Clinical Social Worker in Fall River, MA
• Providers in Fall River, MA by specialty
• Clinical Social Worker in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2019; 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.