Nicole A Faison

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

CSW02266 Issued in RI

Practice address

30 Dana Rd Apt 3B
North Kingstown, RI 02852-3240

Phone

(401) 227-0340

NPI assigned

Sep 22, 2019

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

Electronic endpoints 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

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 and National Provider Directory roles.

• Treat Yourself Therapy LLC

  • Community/Behavioral Health Agency
  • East Greenwich, RI
  • NPI 1467134742
  Medicare reassignment NPD Authorized official
• Inner You LLC

  • Clinical Social Worker
  • Warwick, RI
  • NPI 1225464209
  Medicare reassignment
• The Inner You

  • Clinical Social Worker
  • Warwick, RI
  • NPI 1386177566
  NPD (past)

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

{
    "created_epoch": "1569110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692316800000",
    "number": "1982255972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5600 POST RD STE 114-344",
            "city": "EAST GREENWICH",
            "state": "RI",
            "postal_code": "028183400",
            "telephone_number": "401-588-9854"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 DANA RD APT 3B",
            "city": "NORTH KINGSTOWN",
            "state": "RI",
            "postal_code": "028523240",
            "telephone_number": "401-227-0340"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Richmond Sq Ste 305W",
            "address_purpose": "LOCATION",
            "city": "Providence",
            "state": "RI",
            "postal_code": "029065141",
            "country_code": "US",
            "telephone_number": "401-227-0372",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FAISON",
        "first_name": "NICOLE",
        "middle_name": "A",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-09-22",
        "last_updated": "2023-08-18",
        "certification_date": "2023-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "RI",
            "license": "CSW02266",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://www.eastcoastmentalwellness.com",
            "affiliation": "Y",
            "affiliationName": "East Coast Mental Wellness",
            "address_1": "1 Richmond Sq Ste 305W",
            "city": "Providence",
            "state": "RI",
            "country_code": "US",
            "postal_code": "029065141",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Andrea R. Erickson, LMHC
• Arthur Edward Erskine III, LMHC
• George Michael Escobar, CDOE
• Face the Sun LLC
• Kealan Winters Faerber, PTA
• Shalyn Danielle Fava, LICSW
• John P Femino, M.D.
• Jessica Marie Ferrol, LMHC
• Kelley E Finch, LICSW
• Shauna Finley, PH.D.

• Clinical Social Worker in North Kingstown, RI
• Providers in North Kingstown, 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 18, 2023; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.