Jacob Handanyan, MSW, LCSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

CSW03844 Issued in RI

Practice address

1130 Ten Rod Rd Ste B101
North Kingstown, RI 02852-4165

Phone

(401) 294-3990

NPI assigned

Sep 13, 2024

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.

Medicare enrollment (NPD)

Enrolled

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.

• Perspectives Corporation

  • Mental Health Counselor
  • North Kingstown, RI
  • NPI 1780812388
  NPD

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

{
    "created_epoch": "1726185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726185600000",
    "number": "1861228009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1130 TEN ROD RD STE B101",
            "city": "NORTH KINGSTOWN",
            "state": "RI",
            "postal_code": "028524165",
            "telephone_number": "401-294-3990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1130 TEN ROD RD STE B101",
            "city": "NORTH KINGSTOWN",
            "state": "RI",
            "postal_code": "028524165",
            "telephone_number": "401-294-3990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANDANYAN",
        "first_name": "JACOB",
        "credential": "MSW, LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-09-13",
        "last_updated": "2024-09-13",
        "certification_date": "2024-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "RI",
            "license": "CSW03844",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Catharine Jean Guertin, D.C., M-PAS
• Alison Gurnon, BCBA
• Alicia Haas
• Christine Marie Hall, RNP
• Christina Hamelin, RDN
• Megan Hanrahan
• Catherine Hanson, LMHC, RN, CHT
• Celine Harper
• Heather Harris McCaffrey, PHARM D
• Martha Jane Harris, LICSW

• Social Worker in North Kingstown, RI
• Providers in North Kingstown, RI by specialty
• Social Worker in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2024; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.