Active NPI
Blue Haven Mental Health L.L.C.
- Clinical Social Worker
- Pawtucket, RI
National Provider Identifier
1992628812
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Legal business name
- BLUE HAVEN MENTAL HEALTH L.L.C.
- Practice address
- 700 Narragansett Park Dr # 100
Pawtucket, RI 02861-4326 - Phone
- (401) 349-7296
- NPI assigned
- Jul 30, 2026
- Organization subpart
- No
Authorized official
NPPES NPI Registry- Name
- Mrs. Jessica McGuire, LICSW
- Title
- Owner
- Phone
- (401) 349-7296
National Provider Directory
National Provider DirectoryLocations
700 Narragansett Park Dr
#100
Pawtucket, RI 02861
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
700 Narragansett Park Dr # 100
Pawtucket, RI 02861-4326
Mailing address
700 Narragansett Park Dr # 100
Pawtucket, RI 02861-4326
Phone (401) 349-7296
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 30, 2026.
{
"created_epoch": "1785369600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1785369600000",
"number": "1992628812",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "700 NARRAGANSETT PARK DR # 100",
"city": "PAWTUCKET",
"state": "RI",
"postal_code": "028614326",
"telephone_number": "401-349-7296"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "700 NARRAGANSETT PARK DR # 100",
"city": "PAWTUCKET",
"state": "RI",
"postal_code": "028614326",
"telephone_number": "401-349-7296"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BLUE HAVEN MENTAL HEALTH L.L.C.",
"organizational_subpart": "NO",
"enumeration_date": "2026-07-30",
"last_updated": "2026-07-30",
"certification_date": "2026-07-30",
"status": "A",
"authorized_official_last_name": "MCGUIRE",
"authorized_official_first_name": "JESSICA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "401-349-7296",
"authorized_official_name_prefix": "Mrs.",
"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": []
}
Other providers in Pawtucket, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.