Geriatric Clinical Services Inc

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

GERIATRIC CLINICAL SERVICES INC

Practice address

110 Slater Park Ave
Pawtucket, RI 02861-3214

Phone

(401) 316-4425

Fax

(401) 722-2363

NPI assigned

Feb 16, 2021

Organization subpart

No

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

Authorized official

Name

Marta Rosol, LICSWNPI 1699010751

Title

Owner

Phone

(401) 316-4425

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in RI

Enrollment records 1

Practitioners 1

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

• Marta Rosol, LICSW

  • Clinical Social Worker
  • Pawtucket, RI
  • NPI 1699010751
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1613433600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1613433600000",
    "number": "1982297479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 SLATER PARK AVE",
            "city": "PAWTUCKET",
            "state": "RI",
            "postal_code": "028613214",
            "telephone_number": "401-316-4425",
            "fax_number": "401-722-2363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 SLATER PARK AVE",
            "city": "PAWTUCKET",
            "state": "RI",
            "postal_code": "028613214",
            "telephone_number": "401-316-4425",
            "fax_number": "401-722-2363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GERIATRIC CLINICAL SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-16",
        "last_updated": "2021-02-16",
        "certification_date": "2021-02-16",
        "status": "A",
        "authorized_official_last_name": "ROSOL",
        "authorized_official_first_name": "MARTA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "401-316-4425",
        "authorized_official_credential": "LICSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Elise Gilbert-Hall, LICSW

• Clinical Social Worker in Pawtucket, RI
• Providers in Pawtucket, 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 Feb 16, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.