Individual provider Active NPI

Erica Chase, LICSW

  • Clinical Social Worker
  • Lincoln, RI
National Provider Identifier
1902029440
Registry record updated Oct 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
ISW02080 Issued in RI
Practice address
237 Front St
Lincoln, RI 02865-2035
Phone
(401) 475-0653
NPI assigned
Apr 11, 2007
Last updated
Oct 9, 2015By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 9, 2015

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 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

IdentifierTypeStateIssuer
GH57134MedicaidRI

Other names 1

  • Erica Moniz Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, LA, NJ, NY, AZ5 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 5

Enrollment IDStateProvider typePAC IDDetails
I20210106002436 MA Practitioner - Clinical Social Worker 5294166815
I20210408002031 LA Practitioner - Clinical Social Worker 5294166815 Reassigns benefits to 1 organization
I20210527002444 NJ Practitioner - Clinical Social Worker 5294166815
I20210602000933 NY Practitioner - Clinical Social Worker 5294166815 Reassigns benefits to 1 organization
I20230512002018 AZ Practitioner - Clinical Social Worker 5294166815 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
ISWRIMDClinical Social Worker
ISW02080RIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Upward Health of la Professional Medical Corporation CurrentSince May 12, 2025 Accepting new patients
Upward Health of Arizona LLC CurrentSince Apr 1, 2023 Accepting new patients
Dennis Mihale MD of Ny PC CurrentSince May 1, 2021 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.

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

Verify at the official NPI Registry.