Active NPI
Daniel L Thompson, LICSW
- Clinical Social Worker
- Westerly, RI
National Provider Identifier
1831372580
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- ISW00383
- Practice address
- 97 Cross St
Westerly, RI 02891-2448 - Phone
- (401) 584-9596
- Fax
- (401) 315-5569
- NPI assigned
- Dec 17, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | ISW00383 | RI | Primary |
Addresses
Primary practice location
97 Cross St
Westerly, RI 02891-2448
Mailing address
97 Cross St
Westerly, RI 02891-2448
Phone (401) 584-9596
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7002713 | Medicaid | RI | |
| 37350 | Other | RI | BLUE CROSS OF RI |
| 414294 | Other | RI | BLUE CHIP |
| 809005948 | Other | RI | MEDICARE |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gateway Healthcare Inc | Past | Accepting new patients | |
| South Shore Center Inc | Clinical | Past | Accepting new patients |
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Pawtucket, RI
- NPI 1821078932
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1197849600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1482883200000",
"number": "1831372580",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "97 CROSS ST",
"city": "WESTERLY",
"state": "RI",
"postal_code": "028912448",
"telephone_number": "401-584-9596",
"fax_number": "401-315-5569"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "97 CROSS ST",
"city": "WESTERLY",
"state": "RI",
"postal_code": "028912448",
"telephone_number": "401-584-9596",
"fax_number": "401-315-5569"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THOMPSON",
"first_name": "DANIEL",
"middle_name": "L",
"credential": "LICSW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-12-17",
"last_updated": "2016-12-28",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "RI",
"license": "ISW00383",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7002713",
"state": "RI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS OF RI",
"identifier": "37350",
"state": "RI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CHIP",
"identifier": "414294",
"state": "RI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "809005948",
"state": "RI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Westerly, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.