TERRI LUPOLI (LICSW) – Social Worker, NPI 1306885223

TERRI LUPOLI (LICSW) is a healthcare provider. based in Providence, Rhode Island. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials LICSW. They hold a License No. ISW01462 (RI). The NPI Number for TERRI LUPOLI (LICSW) is 1306885223

Main info

Female
31 Years Of Experience
Accepts Medicare Assignment
Name
TERRI LUPOLI (LICSW)
NPI
1306885223
Phone
(401) 783-0523
Address
1086 SMITH ST
Enumeration Date
6 June 2006
Last Update Date
24 May 2016

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4013699224
Graduation Year
1995 (31 years ago)
PAC ID
2961403043
Group Practice PAC ID
3274798236
Professional Enrollment ID
I20070117000201
Address ID
RI029082700PR1075XSTXX302
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

712 CLINICAL SOCIAL WORKER in RI

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Provider Addresses for TERRI LUPOLI (LICSW)

  • 1086, Smith Street, Wanskuck, Providence, Providence County, Rhode Island, 02908, United States

    PROVIDENCE, RI 029082738

    Phone: (401) 783-0523

    Fax: (401) 842-0360

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2007-01-17

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20070117000201IClinical Social WorkerRITBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
90837Psychotherapy, 1 hour19116$0
View full utilization report →

Insurance plans in this area (ZIP 02908)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3274798236View full group profile
NameSpecialtyState
Clinical Social WorkerRI
-RI
Clinical PsychologistRI
-RI
Nurse PractitionerRI
Clinical Social WorkerRI
Clinical PsychologistWA
Clinical PsychologistRI
Clinical Social WorkerRI
Clinical PsychologistRI

Reviews

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Frequently asked questions

How is TERRI LUPOLI (LICSW) identified in CMS data?
CMS-hosted NPPES data lists TERRI LUPOLI (LICSW) with NPI 1306885223.
Does the file indicate TERRI LUPOLI (LICSW) is practicing under active NPI?
Directory data currently reports TERRI LUPOLI (LICSW) as active.
What is TERRI LUPOLI (LICSW)'s specialty?
The listing groups TERRI LUPOLI (LICSW) with Social Worker. Clinical services aligned with this taxonomy classification.
Where should I expect TERRI LUPOLI (LICSW) on a map?
Expect Providence, Rhode Island as a primary anchor for TERRI LUPOLI (LICSW) unless the record lists multiple sites.
Why does TERRI LUPOLI (LICSW) have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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