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MALCOLM ROSE SUSHCHYK LICSW 00012367
NPI 1215343231
Social Worker - Clinical in Providence, RI

Active since July 10, 2014
380 BROADWAY, PROVIDENCE, RI 02909(650) 516-6672 Get Directions Write a Review

NPPES record last updated: October 28, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 12, 2021, Jul 2, 2021, Dec 29, 2020 and 1 more (4 updates tracked since 2017).

About Malcolm Rose Sushchyk Licsw 00012367 NPPES

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

MALCOLM ROSE SUSHCHYK LICSW 00012367 (NPI 1215343231) is an individual clinical provider in Providence, Rhode Island, licensed in Rhode Island (ISW03525) and active in the NPI registry since July 2014.

NPPES Registry Identity

NPI1215343231
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameMALCOLM ROSE SUSHCHYKCredential: LICSW 00012367
Location Address380 BROADWAYProvidence, RI 02909-1416
Mailing Address380 BroadwayProvidence, RI 02909-1416 · (650) 516-6672
Phone(650) 516-6672
Sole ProprietorNo
Enumeration DateJuly 10, 2014
Last NPPES UpdateOctober 28, 20254 updates tracked since enumeration
NPPES CertifiedOctober 28, 2025
✔ NPI 1215343231 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Licenses✔ Licensed in RI · ISW03525✔ Licensed in CA · 99467✔ Licensed in MA · 123679
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.
380 BROADWAY, Providence, RI 02909
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Other Identifiers 1

Other99467CA · Board Of Behavioral Sciences

Other Providers at the Same Location NPPES 2

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

SARAH M PALOMO LICSW
Social Worker (Clinical)
380 BROADWAY
PROVIDENCE, RI 02909
Providence County (401) 206-5490
DR. KATE NEDURIAN ROARR PSYD
Psychologist
380 BROADWAY, OFFICE D
PROVIDENCE, RI 02909
Providence County (401) 206-4892

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 Malcolm Sushchyk's NPI number?

The NPI number for Malcolm Sushchyk is 1215343231. It was assigned to this individual provider in the NPPES registry on July 10, 2014.

Where is Malcolm Sushchyk located?

Malcolm Sushchyk practices at 380 Broadway, Providence, RI 02909. The listed phone number is (650) 516-6672.

What is Malcolm Sushchyk'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 Malcolm Sushchyk was last updated on October 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.