HAROLD GOLDIS LICSW NPI 1295811057

NPI Information

  • NPI: 1295811057
  • Provider Name: HAROLD GOLDIS, LICSW
  • Classification: Social Worker - 1041C0700X
  • Specialization: Clinical
  • Entity Type: Individual
  • Address: 101 BACON ST
    PAWTUCKET, RI
    ZIP 02860
  • Phone: (401) 722-3560

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NPI Details

Harold Goldis, LICSW is a clinical social worker in Pawtucket, RI. The provider is 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. Harold Goldis, LICSW NPI is 1295811057. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

101 BACON ST
PAWTUCKET, RI
ZIP 02860-542
Phone: (401) 722-3560
Fax: (401) 722-3593

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Psychiatric diagnostic evaluation (HCPCS:90791)

The enumeration date for this NPI number is 10/27/2006 and was last updated on 7/8/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1104100000XSocial WorkerNo
21041C0700XSocial WorkerClinicalYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1050306183OTHERRHODE ISLANDMAGELLAN
2050306183OTHERRHODE ISLANDMULTIPLAN
3406478OTHERRHODE ISLANDBLUE CHIP
4HG13028MEDICAIDRHODE ISLAND
5306186OTHERRHODE ISLANDBCBS
66234382OTHERRHODE ISLANDUBH
7A007959OTHERRHODE ISLANDVALUE OPTIONS
8233232OTHERRHODE ISLANDTRICARE
91020890OTHERRHODE ISLANDBEACON NHP
10RI0007930OTHERRHODE ISLANDCHAMPUS
117005316MEDICARE PINRHODE ISLAND

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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