Soul Sail Therapy, Inc

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

SOUL SAIL THERAPY, INC

Practice address

1284 Broad St Unit 25462
Providence, RI 02905-7729

Phone

(401) 379-1244

NPI assigned

Aug 25, 2023

Organization subpart

No

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

Authorized official

Name

Andrew Belcher, LICSWNPI 1215422852

Title

President

Phone

(401) 379-1244

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Andrew Belcher, LICSW

  • Clinical Social Worker
  • Warwick, RI
  • NPI 1215422852
  NPD Authorized official

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

{
    "created_epoch": "1692921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692921600000",
    "number": "1942085261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 25462",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029050462",
            "telephone_number": "401-379-1244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1284 BROAD ST UNIT 25462",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029057729",
            "telephone_number": "401-379-1244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUL SAIL THERAPY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-25",
        "last_updated": "2023-08-25",
        "certification_date": "2023-08-25",
        "status": "A",
        "authorized_official_last_name": "BELCHER",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "401-379-1244",
        "authorized_official_credential": "LICSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Desiree Soto, CSW02547
• Jacarina Soto
• Jacqueline Soto, RN
• Jennifer Soucar
• Peter Andrew Soukas, M.D.
• Soulful Healing and Wellness LLC
• Justin Souliere, LICSW
• Darren Jerard Sousa, DO
• Wendy M Sousa, LCSW
• Southcoast Psychology,Inc

• Clinical Social Worker in Providence, RI
• Providers in Providence, 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 25, 2023; 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.