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MS. MARION LYNN WACHTENHEIM M.S.W.
NPI 1073636874
Social Worker - Clinical in Providence, RI

Active since April 08, 2007Opted out of Medicare · through Oct 25, 2027
172 E CUSHING ST, PROVIDENCE, RI 02906(401) 273-4840 Get Directions Write a Review

NPPES record last updated: July 10, 2010. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Ms. Marion Lynn Wachtenheim M.s.w. NPPES

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

MS. MARION LYNN WACHTENHEIM M.S.W. (NPI 1073636874) is an individual clinical provider in Providence, Rhode Island, licensed in Rhode Island (ISW00678) and active in the NPI registry since April 2007. She has opted out of Medicare through October 25, 2027.

NPPES Registry Identity

NPI1073636874
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMS. MARION LYNN WACHTENHEIMCredential: M.S.W.
Location Address172 E CUSHING STProvidence, RI 02906-2255
Mailing Address38 Paris StPawtucket, RI 02860-6129 · (401) 475-0785
Phone(401) 273-4840
Sole ProprietorYes
Enumeration DateApril 8, 2007
Last NPPES UpdateJuly 10, 2010
✔ NPI 1073636874 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 · ISW00678
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.
172 E CUSHING ST, Providence, RI 02906
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Other Identifiers 1

Medicare ID-Type Unspecified809003222RI · Part B Provider

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Ms. Marion Lynn Wachtenheim M.s.w. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from October 25, 2023 through October 25, 2027.

Opt-Out Effective DateOctober 25, 2023
Opt-Out In Effect ThroughOctober 25, 2027Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 4

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

MS. CYNTHIA F MASSE MSW
Social Worker (Clinical)
172 E CUSHING ST
PROVIDENCE, RI 02906
Providence County (401) 274-1754
DR. GRAHAM C. JELLEY PH.D
Psychologist (Clinical)
172 E CUSHING ST
PROVIDENCE, RI 02906
Providence County (401) 273-7736
DR. SHERRI NELSON PHD
Psychologist (Clinical)
172 E CUSHING ST
PROVIDENCE, RI 02906
Providence County (401) 354-7224
JEANNIE BURKHARD
Psychologist
172 E CUSHING ST
PROVIDENCE, RI 02906
Providence County (401) 751-8109

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 Marion Wachtenheim's NPI number?

The NPI number for Marion Wachtenheim is 1073636874. It was assigned to this individual provider in the NPPES registry on April 8, 2007.

Where is Marion Wachtenheim located?

Marion Wachtenheim practices at 172 E Cushing St, Providence, RI 02906. The listed phone number is (401) 273-4840.

What is Marion Wachtenheim's specialty?

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

Is Marion Wachtenheim enrolled in Medicare?

No. Marion Wachtenheim has opted out of Medicare through October 25, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Marion Wachtenheim was last updated on July 10, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.