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ANNETTE D SCANLON LICSW
NPI 1396891396
Social Worker - Clinical in Providence, RI

Active since January 25, 2007PECOS EnrolledAccepts Medicare Assignment
55 HOPE ST, PROVIDENCE, RI 02906(401) 331-1350(401) 277-3366 Get Directions Write a Review

NPPES record last updated: April 10, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Annette D Scanlon Licsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ANNETTE D SCANLON LICSW (NPI 1396891396) is an individual clinical provider in Providence, Rhode Island, licensed in Rhode Island (ISW02317) and active in the NPI registry since January 2007. She is enrolled in Medicare PECOS and is a graduate of Other (2006).

NPPES Registry Identity

NPI1396891396
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameANNETTE D SCANLONCredential: LICSW
Location Address55 HOPE STProvidence, RI 02906-2001
Mailing Address134 Thurbers AveProvidence, RI 02905-4754 · (401) 331-1350 · Fax (401) 277-3366
Phone(401) 331-1350
Fax(401) 277-3366
Sole ProprietorNo
Medical School CMSOtherGraduated 2006
Enumeration DateJanuary 25, 2007
Last NPPES UpdateApril 10, 2015
✔ NPI 1396891396 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in RI · ISW02317
Definition
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.
Also ListedSocial WorkerTaxonomy 104100000X
55 HOPE ST, Providence, RI 02906
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Harvard Pilgrim Health Care.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Annette D Scanlon Licsw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6608195078
PECOS Enrollment IDI20151001000433
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02906 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $58.57 – $177.03
Typical copayment $0.00 (range $14.64 – $44.25)
Most-billed visit code NA
Established Patient
$72.93 typical visit price
range $18.92 – $144.38
Typical copayment $18.23 (range $4.73 – $36.09)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. CAROLANNE GEFFROY LICSW
Social Worker (Clinical)
55 HOPE ST
PROVIDENCE, RI 02906
Providence County (401) 331-1350
KRISTEN DUDLEY LCSW
Social Worker (Clinical)
55 HOPE ST
PROVIDENCE, RI 02906
Providence County (401) 416-0794
MILDRED BATES LICSW
Social Worker (Clinical)
55 HOPE ST, FAMILY SERVICE OF RHODE ISLAND
PROVIDENCE, RI 02906
Providence County (401) 331-1350
MRS. MIRIAM MURPHY LCSW
Social Worker
55 HOPE ST
PROVIDENCE, RI 02906
Providence County (401) 331-1350
MRS. NICOLE ORTIZ LCSW
Social Worker (Clinical)
55 HOPE ST
PROVIDENCE, RI 02906
Providence County (401) 331-1350
KRISTEN GARVIN LMHC
Social Worker (Clinical)
55 HOPE ST
PROVIDENCE, RI 02906
Providence County (401) 331-1350
ELIZABETH WILLEY SLP
Speech-Language Pathologist
55 HOPE ST, C/O FAMILY SERVICE OF RHODE ISLAND INC
PROVIDENCE, RI 02906
Providence County (401) 331-1350
MS. DEBORAH ANNE HICKS LCSW
Social Worker (Clinical)
55 HOPE ST
PROVIDENCE, RI 02906
Providence County (401) 663-2230

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Annette Scanlon's NPI number?

The NPI number for Annette Scanlon is 1396891396. It was assigned to this individual provider in the NPPES registry on January 25, 2007.

Where is Annette Scanlon located?

Annette Scanlon practices at 55 Hope St, Providence, RI 02906. The listed phone number is (401) 331-1350.

What is Annette Scanlon's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Annette Scanlon enrolled in Medicare?

Yes. Annette Scanlon is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Annette Scanlon accept?

Health plans from Anthem Blue Cross and Blue Shield and Harvard Pilgrim Health Care list Annette Scanlon as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Annette Scanlon was last updated on April 10, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.