1. Home
  2. Directory
  3. Rhode Island
  4. Providence
  5. Counselor
  6. NPI Profile

MR. DAVID JON MEDEIROS LICSW
NPI 1336204072
Counselor - Mental Health in Providence, RI

Active since December 22, 2006
173 WATERMAN ST, PROVIDENCE, RI 02906(401) 743-1214 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mr. David Jon Medeiros Licsw NPPES

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

MR. DAVID JON MEDEIROS LICSW (NPI 1336204072) is an individual mental health provider in Providence, Rhode Island, licensed in Rhode Island (ISW01114) and active in the NPI registry since December 2006.

NPPES Registry Identity

NPI1336204072
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameMR. DAVID JON MEDEIROSCredential: LICSW
Location Address173 WATERMAN STProvidence, RI 02906-3919
Mailing Address173 Waterman StProvidence, RI 02906-3919 · (401) 743-1214
Phone(401) 743-1214
Sole ProprietorYes
Enumeration DateDecember 22, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1336204072 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in RI · ISW01114
173 WATERMAN ST, Providence, RI 02906
Open in Google Maps ↗

Other Identifiers 2

Other20494-7RI · Bluecross
Other409312RI · Bluechip

Other Providers at the Same Location NPPES 9

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

DR. LUCY JEAN BROWN MD
Psychiatry & Neurology (Psychiatry)
173 WATERMAN ST
PROVIDENCE, RI 02906
Providence County (401) 228-7702
SARAH OUELLETTE PSYCHOTHERAPY, LLC
Community/Behavioral Health
173 WATERMAN ST
PROVIDENCE, RI 02906
Providence County (401) 400-2499
SARAH E. OUELLETTE LICSW
Social Worker (Clinical)
173 WATERMAN ST
PROVIDENCE, RI 02906
Providence County (401) 400-2499
BARBARA K SCHWEITZER LICSW
Social Worker (Clinical)
173 WATERMAN ST
PROVIDENCE, RI 02906
Providence County (401) 272-0760
CARMEL MARIE LOMBARDI LICSW
Social Worker (Clinical)
173 WATERMAN ST
PROVIDENCE, RI 02906
Providence County (401) 400-0932
DR. MARGARET N. TAYLOR PH.D
Psychologist (Clinical)
173 WATERMAN ST
PROVIDENCE, RI 02906
Providence County (401) 272-5220
DR. ROSEMARY E DECROCE PSYD
Psychologist (Clinical)
173 WATERMAN ST
PROVIDENCE, RI 02906
Providence County (401) 935-7759
SARAH C TREASTER
Social Worker (Clinical)
173 WATERMAN ST
PROVIDENCE, RI 02906
Providence County (267) 324-9564

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 David Medeiros's NPI number?

The NPI number for David Medeiros is 1336204072. It was assigned to this individual provider in the NPPES registry on December 22, 2006.

Where is David Medeiros located?

David Medeiros practices at 173 Waterman St, Providence, RI 02906. The listed phone number is (401) 743-1214.

What is David Medeiros's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for David Medeiros was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.