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CHANTA BRYAN LICSW
NPI 1083357750
Social Worker - Clinical in Providence, RI

Active since April 19, 2022PECOS Enrolled
1 RICHMOND SQ, PROVIDENCE, RI 02906(401) 213-1381(401) 572-3364 Get Directions Write a Review

NPPES record last updated: April 10, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 10, 2026, Nov 4, 2024, May 16, 2022 and 1 more (4 updates tracked since 2022).

About Chanta Bryan Licsw NPPES

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

CHANTA BRYAN LICSW (NPI 1083357750) is an individual clinical provider in Providence, Rhode Island, licensed in Rhode Island (ISW04791) and active in the NPI registry since April 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1083357750
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameCHANTA BRYANCredential: LICSW
Location Address1 RICHMOND SQProvidence, RI 02906-5139
Mailing Address1 Richmond SqProvidence, RI 02906-5139 · (401) 213-1381 · Fax (401) 572-3364
Phone(401) 213-1381
Fax(401) 572-3364
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateApril 19, 2022
Last NPPES UpdateApril 10, 20264 updates tracked since enumeration
NPPES CertifiedApril 10, 2026
✔ NPI 1083357750 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Licenses✔ Licensed in RI · ISW04791✔ Licensed in RI · CSW02862
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.
Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X
1 RICHMOND SQ, Providence, RI 02906
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Chanta Bryan Licsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9638646037
PECOS Enrollment IDI20260422003357
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02906 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $58.57 – $177.03
Typical copayment $0.00 (range $14.64 – $44.25)
Most-billed visit code NA
Established Patient
$72.93 typical visit price
range $18.92 – $144.38
Typical copayment $18.23 (range $4.73 – $36.09)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

TALIA DIGIULIO
Social Worker (Clinical)
1 RICHMOND SQ
PROVIDENCE, RI 02906
Providence County (401) 227-0372
ANGELA RUDNER PSYCHOTHERAPY LLC
Social Worker (Clinical)
1 RICHMOND SQ, STE152 E
PROVIDENCE, RI 02906
Providence County (401) 573-9905
MRS. VILNA I. TEJEDA MSW, LICSW
Social Worker (Clinical)
1 RICHMOND SQ
PROVIDENCE, RI 02906
Providence County (401) 288-1002
PETER D LEE LICSW
Social Worker (Clinical)
1 RICHMOND SQ, SUITE 109-C
PROVIDENCE, RI 02906
Providence County (401) 451-6474
MR. DANIEL M EVEN
Social Worker (Clinical)
1 RICHMOND SQ, SUITE 122C
PROVIDENCE, RI 02906
Providence County (401) 454-2890
ANAIT AZARIAN PH.D.
Psychologist (Clinical)
1 RICHMOND SQ, 102K
PROVIDENCE, RI 02906
Providence County (401) 751-3281
RISA GUTTMAN-KORNWITZ
Occupational Therapist
1 RICHMOND SQ, SUITE 220 A-W
PROVIDENCE, RI 02906
Providence County (401) 369-8443
MS. JANE G OFARRELL LICSW
Social Worker (Clinical)
1 RICHMOND SQ, SUITE 126C
PROVIDENCE, RI 02906
Providence County (401) 369-1337

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 Chanta Bryan's NPI number?

The NPI number for Chanta Bryan is 1083357750. It was assigned to this individual provider in the NPPES registry on April 19, 2022.

Where is Chanta Bryan located?

Chanta Bryan practices at 1 Richmond Sq, Providence, RI 02906. The listed phone number is (401) 213-1381.

What is Chanta Bryan's specialty?

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

Is Chanta Bryan enrolled in Medicare?

Yes. Chanta Bryan is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Chanta Bryan was last updated on April 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.