Jennifer Diane Ryall, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

ISW01803 Issued in RI

Practice address

1087 Warwick Ave
Warwick, RI 02888-3545

Phone

(401) 461-6676

Fax

(401) 461-3165

NPI assigned

Jan 8, 2007

Last updated

May 6, 2011By the provider in NPPES

Sex

Female

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 4

Other names 1

• Jennifer Diane Fragale Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Arise Psychotherapy Services, Inc

  • Clinical Social Worker
  • East Providence, RI
  • NPI 1679248108
  NPD (past)

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

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1304640000000",
    "number": "1972651552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "212 GLENWOOD AVE",
            "city": "PAWTUCKET",
            "state": "RI",
            "postal_code": "028605939",
            "telephone_number": "401-461-6676",
            "fax_number": "401-461-3165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1087 WARWICK AVE",
            "city": "WARWICK",
            "state": "RI",
            "postal_code": "028883545",
            "telephone_number": "401-461-6676",
            "fax_number": "401-461-3165"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RYALL",
        "first_name": "JENNIFER",
        "middle_name": "DIANE",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-08",
        "last_updated": "2011-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "RI",
            "license": "ISW01803",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CHIP",
            "identifier": "413750",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NHP GROUP NUMBER",
            "identifier": "1021740",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "JR62069",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "319458",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "FRAGALE",
            "middle_name": "DIANE",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Karen Ann Rush, RN
• Kerri L Rush, RD, LDN, CDOE
• Colleen Janis Rusk, RN
• Aimee Ruzzo, FNP-C
• Christine E Ruzzo, CRT,RPSGT
• Roberta Nothstein Ryan, BCBA
• Lynda C Ryder, LMHC
• Samantha Ryder, LCDP
• Soumya Sabbella
• Manuel E Saborio, M.D.

• Clinical Social Worker in Warwick, RI
• Providers in Warwick, 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 May 6, 2011; 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.