MR. JOEL MEDWIN (NPI# 1467497644) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467497644 |
| Entity Type | Individual |
| Full Name | MR. JOEL MEDWIN |
| Credential | MSW |
| Practice Address |
1500 Pontiac Ave Cranston RI 02920-4406 |
| Practice Telephone | 4015291819 |
| Practice Fax Number | 4019434460 |
| Mailing Telephone | 4015291819 |
| Mailing Fax Number | 4019434460 |
| Enumeration Date | 2006-06-19 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
ISW00743 | RI | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| RI | BLUECROSS/BLUECHIP RI | 407833 | 01 |
| RI | UNITED HEALTH CARE | 41038323 | 01 |
| PR | RI MEDICAL ASSISTANCE | JM57598 | 01 |
| RI | NHPRI | 1041460 | 01 |
| RI | BLUECROSS OF RHODE ISLAND | 27516 | 01 |
| Street Address |
1500 PONTIAC AVE |
| City | CRANSTON |
| State | RI |
| Zip Code | 02920-4406 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487641411 | David G Kerzer | Family Medicine | 1500 Pontiac Ave, Cranston, RI 02920-4406 | 2005-10-04 |
| 1174975445 | Roy Souaid | Internal Medicine | 1500 Pontiac Ave, Cranston, RI 02920-4486 | 2016-07-11 |
| 1881089860 | Dr. Danielle Desantis &associates | Social Worker | 1500 Pontiac Ave, Cranston, RI 02920-4486 | 2015-04-06 |
| 1225468267 | Sarah E. Ouellette | Social Worker | 1500 Pontiac Ave, Cranston, RI 02920-4486 | 2013-11-12 |
| 1770728198 | Kimberly Masterson | Counselor | 1500 Pontiac Ave, Cranston, RI 02920-4486 | 2008-12-15 |
| 1174662738 | University Medical Group, Inc. | Non-Pharmacy Dispensing Site | 1500 Pontiac Ave, Cranston, RI 02920-4406 | 2007-02-06 |
| 1154471167 | Julie Ann Agugiaro | Counselor | 1500 Pontiac Ave, Cranston, RI 02920-4486 | 2007-01-11 |
| 1780749010 | Janet G. Marquez | Marriage & Family Therapist | 1500 Pontiac Ave, Cranston, RI 02920 | 2006-12-27 |
| 1437173572 | Sukanya Somasundar | Family Medicine | 1500 Pontiac Ave, Cranston, RI 02920-4495 | 2006-07-26 |
| 1124046511 | Alison Perry | Nurse Practitioner | 1500 Pontiac Ave, Cranston, RI 02920-4486 | 2006-07-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184262198 | Beacon Dental Health Ri, PC | Clinic/Center | Beacon Dental Health Ri, P.C., 1090 New London Avenue, Cranston, RI 02920 | 2019-12-20 |
| 1821642240 | Jaime L Nixon | Dietitian, Registered | 444 Meshanticut Valley Parkway, Apt 37, Cranston, RI 02920 | 2019-07-25 |
| 1164923553 | Codac Inc | Peer Specialist | 3 Regan Ct, Cranston, RI 02920 | 2018-02-22 |
| 1144673096 | Joanne Le | Optometrist | 1400 Oaklawn Ave., Cranston, RI 02920 | 2016-07-15 |
| 1053790733 | Alanna Conley | Speech-Language Pathologist | 45 Sockanosset Cross Rd Ste 100, Cranston, RI 02920 | 2015-05-27 |
| 1114322740 | Nicole Enos | Physical Therapist | 51 Sockanosset Crossroad, Cranston, RI 02920 | 2014-10-24 |
| 1841622313 | Courtney Faiith Oliver | Occupational Therapy Assistant | 150 Midway Road, Suite 173, Cranston, RI 02920 | 2013-08-06 |
| 1386086403 | Sarah Gonzalez | Marriage & Family Therapist | 105 Sockanosset Cross Rd Ste 102, Cranston, RI 02920 | 2013-07-18 |
| 1902246788 | Amanda Lee Zarriello | Physical Medicine & Rehabilitation | 10 Worthington Rd, Cranston, RI 02920 | 2013-06-26 |
| 1962742528 | Yatyee Lee | Counselor | 141 Elmwood Avenue, Cranston, RI 02920 | 2013-02-19 |
| Find all providers in zip 02920 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962023978 | Karen Anne Barile-lyons | Social Worker | 214 Selma St, Cranston, RI 02920-4822 | 2020-04-30 |
| 1568081206 | Generations Psychotherapy Inc. | Social Worker | 960 Reservoir Ave Ste 10, Cranston, RI 02910-4447 | 2020-04-13 |
| 1063047090 | Conversations Counseling Inc | Social Worker | 65 Sockanosset Cross Rd Ste 206, Cranston, RI 02920-5536 | 2020-03-10 |
| 1831670660 | Gerardo Codola | Social Worker | 4 Sharpe Dr, Cranston, RI 02920-4410 | 2018-08-29 |
| 1770074320 | Robert A Rocchio Jr. | Social Worker | 8 Gray Coach W, Cranston, RI 02921-3452 | 2018-05-18 |
| 1407386782 | Vivian Acevedo | Social Worker | 41 Sherwood St, Cranston, RI 02920-5019 | 2017-06-19 |
| 1730619339 | Shana Defelice | Social Worker | 119 Villa Ave, Cranston, RI 02905-2656 | 2017-06-15 |
| 1265982946 | Linda A Harrod | Social Worker | 18 Dunedin St, Cranston, RI 02920-7608 | 2016-10-06 |
| 1952757692 | Merle Edwards-orr | Social Worker | 68 Ferncrest Ave, Cranston, RI 02905-3511 | 2016-05-12 |
| 1265816888 | Christopher R Smith | Social Worker | 95 Sockanosset Cross Rd Ste 201, Cranston, RI 02920-5559 | 2015-07-14 |
| Find all providers in CRANSTON | ||||
Please comment or provide details below to improve the information on MR. JOEL MEDWIN.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.