MS. TANYA LYN MEDEIROS
NPI 1063760049
Social Worker - Clinical in Providence, RI

Active since August 22, 2012
830 CHALKSTONE AVE, PROVIDENCE, RI 02908(401) 273-7100 Get Directions Write a Review

NPPES record last updated: January 6, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ms. Tanya Lyn Medeiros NPPES

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

MS. TANYA LYN MEDEIROS (NPI 1063760049) is an individual clinical provider in Providence, Rhode Island, licensed in Rhode Island (CSW01529) and active in the NPI registry since August 2012.

NPPES Registry Identity

NPI1063760049
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMS. TANYA LYN MEDEIROS
Location Address830 CHALKSTONE AVEProvidence, RI 02908-4734
Mailing Address830 Chalkstone AveProvidence, RI 02908-4734 · (401) 273-7100
Sole ProprietorNo
Enumeration DateAugust 22, 2012
Last NPPES UpdateJanuary 6, 2015
NPI 1063760049 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 · CSW01529
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.
830 CHALKSTONE AVE, Providence, RI 02908

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.

Pharmacist (Pharmacotherapy)
830 CHALKSTONE AVE, 119
PROVIDENCE, RI 02908
Social Worker (Clinical)
830 CHALKSTONE AVE
PROVIDENCE, RI 02908
Social Worker (Clinical)
830 CHALKSTONE AVE
PROVIDENCE, RI 02908
Nurse Practitioner (Acute Care)
830 CHALKSTONE AVE
PROVIDENCE, RI 02908
Social Worker (Clinical)
830 CHALKSTONE AVE
PROVIDENCE, RI 02908
Dietitian, Registered
830 CHALKSTONE AVE
PROVIDENCE, RI 02908
Registered Nurse
830 CHALKSTONE AVE
PROVIDENCE, RI 02908
Social Worker (Clinical)
830 CHALKSTONE AVE
PROVIDENCE, RI 02908

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 Tanya Medeiros's NPI number?

The NPI number for Tanya Medeiros is 1063760049. It was assigned to this individual provider in the NPPES registry on August 22, 2012.

Where is Tanya Medeiros located?

Tanya Medeiros practices at 830 Chalkstone Ave, Providence, RI 02908. The listed phone number is (401) 273-7100.

What is Tanya Medeiros's specialty?

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

When was this NPI record last updated?

The NPPES record for Tanya Medeiros was last updated on January 6, 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.