Individual provider Active NPI

Gwendolyn Gariglio, MSW

  • Clinical Social Worker
  • Providence, RI
National Provider Identifier
1811022122
Registry record updated Apr 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
ISW01779 Issued in RI
Practice address
153 Summer St
Providence, RI 02903-4011
Phone
(401) 276-4300
Fax
(401) 331-3285
NPI assigned
Feb 23, 2007
Last updated
Apr 18, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X ISW01779 RI Primary

Addresses

Primary practice location

153 Summer St
Providence, RI 02903-4011

Mailing address

153 Summer St
Providence, RI 02903-4011
Phone (401) 276-4300

Other identifiers 1

IdentifierTypeStateIssuer
GB52346MedicaidRI

Other names 1

  • Gwendolyn Brassard 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
ISW01779RIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Children's Friend and Service 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1172188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1208476800000",
    "number": "1811022122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "153 SUMMER ST",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029034011",
            "telephone_number": "401-276-4300",
            "fax_number": "401-331-3285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "153 SUMMER ST",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029034011",
            "telephone_number": "401-276-4300",
            "fax_number": "401-331-3285"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARIGLIO",
        "first_name": "GWENDOLYN",
        "credential": "MSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-23",
        "last_updated": "2008-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "RI",
            "license": "ISW01779",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GB52346",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GWENDOLYN",
            "last_name": "BRASSARD",
            "credential": "MSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Providence, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2008; 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.