Sergio De Conno, LICSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

ISW00718 Issued in RI

Practice address

400 Bald Hill Rd
Suite 510
Warwick, RI 02886-1617

Phone

(401) 732-3637

Fax

(401) 732-2875

NPI assigned

Jan 9, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Rosemarie a. Abbruzzese, MSW, Licsw, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Warwick, RI
  • NPI 1376824136
  NPD (past)

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

{
    "created_epoch": "1168300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1902955974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 BALD HILL RD",
            "address_2": "SUITE 510",
            "city": "WARWICK",
            "state": "RI",
            "postal_code": "028861617",
            "telephone_number": "401-732-3637",
            "fax_number": "401-732-2875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 BALD HILL RD",
            "address_2": "SUITE 510",
            "city": "WARWICK",
            "state": "RI",
            "postal_code": "028861617",
            "telephone_number": "401-732-3637",
            "fax_number": "401-732-2875"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE CONNO",
        "first_name": "SERGIO",
        "name_prefix": "Mr.",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "RI",
            "license": "ISW00718",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "1",
            "identifier": "21077-9",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "3",
            "identifier": "3649930001",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "2",
            "identifier": "62-4472",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• David M. Dawson, CRNA
• Laura Dawson, MD
• Fariba Dayhim, M.D.
• Andrea Marie Dayotas, LMHC, LADC, LSWA
• DCT Dental LLC
• Lisa Ann De Giulio, OD
• Carla Alexis De Venecia, M.D.
• James Joseph Deady, PA
• David Dean, MA, LCDP
• Anthony H. Debarros, M.D.

• Social Worker in Warwick, RI
• Providers in Warwick, 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 Jul 8, 2007; 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.