Active NPI
Timothy Nicholas Fornaro, LICSW
- Clinical Social Worker
- Providence, RI
National Provider Identifier
1952563645
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- ISW01780
- Practice address
- 55 Hope St
C/O Family Service of Rhode Island
Providence, RI 02906-2001 - Phone
- (401) 331-1350
- Fax
- (401) 277-3366
- NPI assigned
- Jun 25, 2008
- Last updated
- Mar 23, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | ISW01780 | RI | Primary |
Addresses
Primary practice location
55 Hope St
C/O Family Service of Rhode Island
Providence, RI 02906-2001
Mailing address
PO Box 6688
C/O Family Service of Rhode Island
Providence, RI 02940-6688
Phone (401) 331-1350
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
55 Hope St
Providence, RI 02906-2001
Phone (401) 519-2300
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Adult Mental Health Clinic/Center
- Providence, RI
- NPI 1598833535
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1214352000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1300838400000",
"number": "1952563645",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 6688",
"address_2": "C/O FAMILY SERVICE OF RHODE ISLAND",
"city": "PROVIDENCE",
"state": "RI",
"postal_code": "029406688",
"telephone_number": "401-331-1350"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "55 HOPE ST",
"address_2": "C/O FAMILY SERVICE OF RHODE ISLAND",
"city": "PROVIDENCE",
"state": "RI",
"postal_code": "029062001",
"telephone_number": "401-331-1350",
"fax_number": "401-277-3366"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FORNARO",
"first_name": "TIMOTHY",
"middle_name": "NICHOLAS",
"credential": "LICSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-06-25",
"last_updated": "2011-03-23",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "RI",
"license": "ISW01780",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Providence, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2011; 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.