Individual provider Active NPI

Susan Angell Winsor, LICSW

  • Clinical Social Worker
  • Portsmouth, RI
National Provider Identifier
1992245997
Registry record updated Feb 24, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
ISW01966 Issued in RI
Practice address
101 Clock Tower SQ
Portsmouth, RI 02871-1396
Phone
(401) 400-2949
Fax
(401) 293-5282
NPI assigned
Feb 24, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 24, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X ISW01966 RI Primary

Addresses

Primary practice location

101 Clock Tower SQ
Portsmouth, RI 02871-1396

Mailing address

101 Clock Tower Square
Portsmouth, RI 02871
Phone (401) 400-2949

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170412000722 RI Practitioner - Clinical Social Worker 3072899764 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Child and Family Psychiatry, Inc.Group PAC ID 5294173464, 90 clinicians

Practice addresses (Care Compare)

65 Village Square Dr
Suite 302
South Kingstown, RI 02879-2569
Phone (401) 785-0040

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
ISW01966RIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
East Bay Community Action Program Current Accepting new patients
East Bay Community Action Program CurrentSince Oct 11, 2024 Accepting new patients
Newport County Community Mental Health Center, Inc CurrentSince Apr 5, 2021 Accepting new patients
East Bay Community Action Program CurrentSince Oct 11, 2024 Accepting new patients
Child and Family Psychiatry, Inc. Clinical CurrentSince Oct 14, 2024 Accepting new patients

Locations

2 Old County Rd
Barrington, RI 02806
Phone (401) 246-1195

42 Valley Rd
Middletown, RI 02842
Phone (401) 843-1213

65 Valley Rd
Middletown, RI 02842
Phone (401) 431-9870

19 Broadway
Newport, RI 02840
Phone (401) 845-0564

6 John H Chafee Blvd
Newport, RI 02840
Phone (401) 239-1208

501 Wampanoag Trl
Unit 400
Riverside, RI 02915
Phone (508) 207-8819

100 Bullocks Point Ave
Riverside, RI 02915
Phone (401) 437-1000

65 Village Square Dr
Ste 302
South Kingstown, RI 02879
Phone (844) 754-6564

1035 Post Rd
Warwick, RI 02888
Phone (401) 941-2830

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1487894400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1487894400000",
    "number": "1992245997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 CLOCK TOWER SQUARE",
            "city": "PORTSMOUTH",
            "state": "RI",
            "postal_code": "02871",
            "telephone_number": "401-400-2949",
            "fax_number": "401-293-5282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 CLOCK TOWER SQ",
            "city": "PORTSMOUTH",
            "state": "RI",
            "postal_code": "028711396",
            "telephone_number": "401-400-2949",
            "fax_number": "401-293-5282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WINSOR",
        "first_name": "SUSAN",
        "middle_name": "ANGELL",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-02-24",
        "last_updated": "2017-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "RI",
            "license": "ISW01966",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portsmouth, RI

Sources for this page

Verify at the official NPI Registry.