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JESSICA PRATAS LICSW
NPI 1851996730
Social Worker - Clinical in Providence, RI

Active since December 01, 2020PECOS Enrolled
1 HOPPIN ST STE 3055, PROVIDENCE, RI 02903(401) 444-5980(401) 444-3873 Get Directions Write a Review

NPPES record last updated: August 14, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 14, 2024, Jan 29, 2021, Dec 1, 2020 (3 updates tracked since 2020).

About Jessica Pratas Licsw NPPES

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

JESSICA PRATAS LICSW (NPI 1851996730) is an individual clinical provider in Providence, Rhode Island, licensed in Rhode Island (ISW03624) and active in the NPI registry since December 2020. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1851996730
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameJESSICA PRATASCredential: LICSW
Location Address1 HOPPIN ST STE 3055Providence, RI 02903-4141
Mailing Address117 Ellenfield St Ste 101Providence, RI 02905-4541
Phone(401) 444-5980
Fax(401) 444-3873
Sole ProprietorNo
Enumeration DateDecember 1, 2020
Last NPPES UpdateAugust 14, 20243 updates tracked since enumeration
NPPES CertifiedAugust 14, 2024
✔ NPI 1851996730 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in RI · ISW03624
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.
1 HOPPIN ST STE 3055, Providence, RI 02903
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jessica Pratas Licsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignments

2

Medicare enrollment records show Jessica Pratas reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Rhode Island Hospital
1.4 mi
Pediatrics
593 EDDY ST
Providence, RI 02903
  • Reassigned Medicare billing, Rhode Island enrollment
  • 265 clinicians in this Medicare group
NPI 1861420333 (401) 444-6195
Newport County Community Mental Health Center, Inc
22 mi
Mental Health (Including Community Mental Health Center)
42 VALLEY RD
Middletown, RI 02842
  • Reassigned Medicare billing, Rhode Island enrollment
  • 58 clinicians in this Medicare group
NPI 1093713174 (401) 846-1213

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02903 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

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

MAAYAN LEROY-MELAMED
Pediatrics (Adolescent Medicine)
1 HOPPIN ST STE 3055
PROVIDENCE, RI 02903
Providence County (401) 444-5980

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 Jessica Pratas's NPI number?

The NPI number for Jessica Pratas is 1851996730. It was assigned to this individual provider in the NPPES registry on December 1, 2020.

Where is Jessica Pratas located?

Jessica Pratas practices at 1 Hoppin St Ste 3055, Providence, RI 02903. The listed phone number is (401) 444-5980.

What is Jessica Pratas's specialty?

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

Is Jessica Pratas enrolled in Medicare?

Yes. Jessica Pratas is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Jessica Pratas's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jessica Pratas reassigns Medicare benefits to 2 organizations: Rhode Island Hospital (Providence, RI) and Newport County Community Mental Health Center, Inc (Middletown, RI). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jessica Pratas's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Jessica Pratas was last updated on August 14, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.