Individual provider Active NPI

Alyssia Marie Ramos, LICSW, BCBA

  • Clinical Social Worker
  • Lincoln, RI
National Provider Identifier
1811208879
Registry record updated Apr 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
ISW02773 Issued in RI
Practice address
840 Smithfield Ave Ste 303
Lincoln, RI 02865-3332
Phone
(401) 773-9777
NPI assigned
Jun 24, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 24, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X
Clinical Social Worker 1041C0700X ISW02773 RI Primary

Addresses

Primary practice location

840 Smithfield Ave Ste 303
Lincoln, RI 02865-3332

Mailing address

840 Smithfield Ave Ste 303
Lincoln, RI 02865-3332
Phone (401) 773-9777

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
ISW02773RIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Pivotal Beginnings LLC Behavior Analyst CurrentSince Feb 1, 2023 Accepting new patients
Serene Impact LLC Behavior Analyst CurrentSince Jan 5, 2025 Accepting new patients

Locations

840 Smithfield Ave
Ste 303
Lincoln, RI 02865
Phone (401) 773-9777

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": "1277337600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713916800000",
    "number": "1811208879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "840 SMITHFIELD AVE STE 303",
            "city": "LINCOLN",
            "state": "RI",
            "postal_code": "028653332",
            "telephone_number": "401-773-9777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "840 SMITHFIELD AVE STE 303",
            "city": "LINCOLN",
            "state": "RI",
            "postal_code": "028653332",
            "telephone_number": "401-773-9777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAMOS",
        "first_name": "ALYSSIA",
        "middle_name": "MARIE",
        "credential": "LICSW, BCBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-06-24",
        "last_updated": "2024-04-24",
        "certification_date": "2024-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "RI",
            "license": "ISW02773",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lincoln, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2024; 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.