Individual provider Active NPI

Allison Ravech

  • Clinical Social Worker
  • North Kingstown, RI
National Provider Identifier
1942852231
Registry record updated Sep 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
ISW03425 Issued in RI
Practice address
1130 Ten Rod Rd Ste F207E
North Kingstown, RI 02852-4172
Phone
(401) 317-2700
Fax
(401) 317-2717
NPI assigned
Jul 16, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 23, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X
Clinical Social Worker 1041C0700X ISW03425 RI Primary

Addresses

Primary practice location

1130 Ten Rod Rd Ste F207E
North Kingstown, RI 02852-4172

Mailing address

1130 Ten Rod Rd Ste F207E
North Kingstown, RI 02852-4172
Phone (401) 317-2700

Other practice location 1

36 Rolfe Sq Unit 1
Cranston, RI 02910
Phone (401) 317-2700

Other practice location 2

194 Waterman St
Providence, RI 02906-4015
Phone (401) 633-2929

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Dec 27, 2023 through Dec 27, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
ISW03425RIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Me Psychotherapy, LLC Clinical CurrentSince Nov 27, 2023 Accepting new patients

Locations

194 Waterman St
Providence, RI 02906
Phone (401) 633-2929

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1563235200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695427200000",
    "number": "1942852231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1130 TEN ROD RD STE F207E",
            "city": "NORTH KINGSTOWN",
            "state": "RI",
            "postal_code": "028524172",
            "telephone_number": "401-317-2700",
            "fax_number": "401-317-2717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1130 TEN ROD RD STE F207E",
            "city": "NORTH KINGSTOWN",
            "state": "RI",
            "postal_code": "028524172",
            "telephone_number": "401-317-2700",
            "fax_number": "401-317-2717"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "36 Rolfe Sq Unit 1",
            "address_purpose": "LOCATION",
            "city": "Cranston",
            "state": "RI",
            "postal_code": "02910",
            "country_code": "US",
            "telephone_number": "401-317-2700",
            "fax_number": "401-317-2717",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "194 Waterman St",
            "address_purpose": "LOCATION",
            "city": "Providence",
            "state": "RI",
            "postal_code": "029064015",
            "country_code": "US",
            "telephone_number": "401-633-2929",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RAVECH",
        "first_name": "ALLISON",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-07-16",
        "last_updated": "2023-09-23",
        "certification_date": "2023-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "RI",
            "license": "ISW03425",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Kingstown, RI

Sources for this page

Verify at the official NPI Registry.