{"npi":"1780705293","type":"NPI-1","status":"active","name":{"display":"Sandra Haas Licsw","other":[],"first":"SANDRA","last":"HAAS","middle":"HELENE","credential":"LICSW"},"specialty":{"primary_taxonomy":"1041C0700X","primary_taxonomy_description":"Clinical Social Worker","slug":"clinical-social-worker","schema_org_specialty":null,"all":[{"code":"1041C0700X","description":"Clinical Social Worker","primary":true,"state":"RI","license":"ISW00880"}]},"addresses":[{"purpose":"LOCATION","street_1":"650 BRANCH AVE STE 6","city":"PROVIDENCE","state":"RI","postal_code":"029041728","country_code":"US","phone":"4012335055"},{"purpose":"MAILING","street_1":"PO BOX 746088","city":"ATLANTA","state":"GA","postal_code":"303746088","country_code":"US","phone":"4697276675","fax":"3129290373"}],"license":{"state":"RI","number":"ISW00880"},"identifiers":[{"type_code":"01","label":"Other","value":"6226514","state":"RI","issuer":"UNITED BEHAVIORAL HEALTH"},{"type_code":"01","label":"Other","value":"410639","state":"RI","issuer":"BLUE CHIP"},{"type_code":"01","label":"Other","value":"25730-9","state":"RI","issuer":"BLUE CROSS & BLUE SHIELD"},{"type_code":"01","label":"Other","value":"1021900","state":"RI","issuer":"BEACON HEALTH STRATEGIES"}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20050822000890","type_code":"14-80","type_desc":"PRACTITIONER - CLINICAL SOCIAL WORKER","state":"MA","pac_id":"5193756906"},{"enrlmt_id":"I20060131000879","type_code":"14-80","type_desc":"PRACTITIONER - CLINICAL SOCIAL WORKER","state":"RI","pac_id":"5193756906"}]},"enumeration_date":"2007-04-02","last_updated":"2023-11-29","_meta":{"source":"NPPES","snapshot_date":"2023-11-29","doc_url":"https://findmynpi.com/api"}}