Center for Integrated Psychotherapy, LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

ISW02018 Issued in RI

Legal business name

CENTER FOR INTEGRATED PSYCHOTHERAPY, LLC

Practice address

1130 Ten Rod Rd
Suite D-307a
North Kingstown, RI 02852-4161

Phone

(401) 294-9323

Fax

(401) 294-9320

NPI assigned

Oct 19, 2012

Organization subpart

No

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

Authorized official

Name

Laurie Rackley-Joseph, LICSWNPI 1659605384

Title

Member and Licensed Psychotherapist

Phone

(401) 294-9323

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in RI

Enrollment records 1

Locations

Practitioners 1

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

• Laurie Colleen Rackley-Joseph, LICSW

  • Clinical Social Worker
  • East Providence, RI
  • NPI 1659605384
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1350604800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1350604800000",
    "number": "1992058580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1130 TEN ROD RD",
            "address_2": "SUITE D-307A",
            "city": "NORTH KINGSTOWN",
            "state": "RI",
            "postal_code": "028524161",
            "telephone_number": "401-294-9323",
            "fax_number": "401-294-9320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1130 TEN ROD RD",
            "address_2": "SUITE D-307A",
            "city": "NORTH KINGSTOWN",
            "state": "RI",
            "postal_code": "028524161",
            "telephone_number": "401-294-9323",
            "fax_number": "401-294-9320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER FOR INTEGRATED PSYCHOTHERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-19",
        "last_updated": "2012-10-19",
        "status": "A",
        "authorized_official_last_name": "RACKLEY-JOSEPH",
        "authorized_official_first_name": "LAURIE",
        "authorized_official_title_or_position": "MEMBER AND LICENSED PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "401-294-9323",
        "authorized_official_credential": "LICSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "RI",
            "license": "ISW02018",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julie Casey, LMHC
• Sarah Siobhan Cashmon
• Megan Catallozzi, DDS
• Whitney Lynn Catanio, O.D.
• Ccsri, LLC
• Sharon Ceresi
• Durinda Chace, LICSW
• Joseph Champlin, APRN
• Denise Champney, MS CCC/SLP
• Jordan L Chausse, MS, RDN

• 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 Oct 19, 2012; 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.