Active NPI
Erica Chase, LICSW
- Clinical Social Worker
- Lincoln, RI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- ISW02080
- Practice address
- 237 Front St
Lincoln, RI 02865-2035 - Phone
- (401) 475-0653
- NPI assigned
- Apr 11, 2007
- Last updated
- Oct 9, 2015
- Sex
- Female
- 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 | ISW02080 | RI | Primary |
Addresses
Primary practice location
237 Front St
Lincoln, RI 02865-2035
Mailing address
375 Oak Hill Ave
Seekonk, MA 02771-1008
Phone (401) 523-2530
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| GH57134 | Medicaid | RI |
Other names 1
- Erica Moniz
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA, LA, NJ, NY, AZ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 5
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ISW | RI | MD | Clinical Social Worker |
| ISW02080 | RI | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Upward Health of la Professional Medical Corporation | Current | Accepting new patients | |
| Upward Health of Arizona LLC | Current | Accepting new patients | |
| Dennis Mihale MD of Ny PC | Current | Accepting new patients | |
| Social Sparks Inc | Clinical | Past | Accepting new patients |
Locations
2760 W Peoria Ave
Phoenix, AZ 85029
Phone (309) 229-0799
6221 S Claiborne Ave
Ste 537
New Orleans, LA 70125
Phone (934) 758-4020
80 Arkay Dr
Ste 230
Hauppauge, NY 11788
Phone (631) 540-8225
188 Valley St
Ste 201
Providence, RI 02909
Phone (401) 648-6200
Organizations & group practices 4
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.
-
dba Upward Health of NY
- General Practice Physician
- Hauppauge, NY
- NPI 1871172957
-
- General Practice Physician
- Phoenix, AZ
- NPI 1801526009
-
- General Practice Physician
- New Orleans, LA
- NPI 1750120119
-
- Clinical Social Worker
- Lincoln, RI
- NPI 1871960575
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176249600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1444348800000",
"number": "1902029440",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "375 OAK HILL AVE",
"city": "SEEKONK",
"state": "MA",
"postal_code": "027711008",
"telephone_number": "401-523-2530"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "237 FRONT ST",
"city": "LINCOLN",
"state": "RI",
"postal_code": "028652035",
"telephone_number": "401-475-0653"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHASE",
"first_name": "ERICA",
"credential": "LICSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-04-11",
"last_updated": "2015-10-09",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "RI",
"license": "ISW02080",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "GH57134",
"state": "RI"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "ERICA",
"last_name": "MONIZ",
"credential": "LCSW",
"code": "1",
"type": "Former Name"
}
]
}
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 Oct 9, 2015; 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.