Jessica S Fabiano, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

ISW01847 Issued in RI

Practice address

640 George Washington Highway
Suite 103
Lincoln, RI 02865

Phone

(401) 286-1917

NPI assigned

Sep 26, 2006

Last updated

Aug 12, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in RI

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 1

Specialty

Clinical Social Worker

Education

Other, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Brightside Behavioral Health LLCGroup PAC ID 4981048501, 14 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Brightside Behavioral Health, LLC

  • Mental Health Counselor
  • Warwick, RI
  • NPI 1255872206
  Medicare reassignment Care Compare group NPD
• Jewish Collaborative Services

  dba Jewish Family Services

  • Mental Health Counselor
  • Providence, RI
  • NPI 1073162202
  Medicare reassignment NPD
• Northern Rhode Island Cognitive Behavioral Therapy Inc

  • Clinical Social Worker
  • Lincoln, RI
  • NPI 1558752014
  NPD
• Community Care Alliance

  • Community/Behavioral Health Agency
  • Woonsocket, RI
  • NPI 1437191061
  NPD (past)

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

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597190400000",
    "number": "1932200763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 SNOWBERRY CT",
            "city": "SMITHFIELD",
            "state": "RI",
            "postal_code": "029174000",
            "telephone_number": "401-286-1917"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "640 GEORGE WASHINGTON HIGHWAY",
            "address_2": "SUITE 103",
            "city": "LINCOLN",
            "state": "RI",
            "postal_code": "02865",
            "telephone_number": "401-286-1917"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FABIANO",
        "first_name": "JESSICA",
        "middle_name": "S",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-26",
        "last_updated": "2020-08-12",
        "certification_date": "2020-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "RI",
            "license": "ISW01847",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "JC52646",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cynthia Espino
• Jaymie Estrada
• Excelcare Inc
• Eye Associates LTD
• Eyes on Lincoln LLC
• Chanil Fana
• Kristal Fargas
• Hoshang Farhad, MD
• Fellowship Health Resources, Inc (Elwyn Adult Behavioral Health Services)
• Fellowship Health Resources, Inc. (Elwyn Adult Behavioral Health Services)

• Clinical Social Worker in Lincoln, RI
• Providers in Lincoln, RI by specialty
• Clinical Social Worker in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2020; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.