MARIANELA DOUGAL LICSW
NPI 1427247444
Social Worker - Clinical in Providence, RI

Active since October 16, 2007PECOS EnrolledAccepts Medicare Assignment
1075 SMITH ST STE 2, PROVIDENCE, RI 02908(401) 369-9224(401) 369-9275 Get Directions Write a Review

NPPES record last updated: November 15, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Nov 15, 2024, Dec 15, 2023, May 12, 2021 and 1 more (4 updates tracked since 2019).

About Marianela Dougal Licsw NPPES

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

MARIANELA DOUGAL LICSW (NPI 1427247444) is an individual clinical provider in Providence, Rhode Island, licensed in Rhode Island (ISW02629) and active in the NPI registry since October 2007. She is enrolled in Medicare PECOS and is a graduate of Other (2000).

NPPES Registry Identity

NPI1427247444
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMARIANELA DOUGALCredential: LICSW
Location Address1075 SMITH ST STE 2Providence, RI 02908-2700
Mailing Address1075 Smith St Ste 2Providence, RI 02908-2700 · (401) 369-9224 · Fax (401) 369-9275
Fax(401) 369-9275
Sole ProprietorNo
Medical School CMSOtherGraduated 2000
Enumeration DateOctober 16, 2007
Last NPPES UpdateNovember 15, 20244 updates tracked since enumeration
NPPES CertifiedNovember 15, 2024
✔ NPI 1427247444 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 · ISW02629
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.
1075 SMITH ST STE 2, Providence, RI 02908

Other Names 1

Former Name (1)Marianela Dougal-vadis Licsw

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Marianela Dougal Licsw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5496154122
PECOS Enrollment IDI20210528000591
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.

Medicare Billing Reassignment

Medicare enrollment records show Marianela Dougal reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Clinical
1075 SMITH ST
Providence, RI 02908
  • Reassigned Medicare billing, Rhode Island enrollment
  • 27 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02908 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 11

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

Student in an Organized Health Care Education/Training Program
1075 SMITH ST STE 2
PROVIDENCE, RI 02908
Nurse Practitioner (Psychiatric/Mental Health)
1075 SMITH ST STE 2
PROVIDENCE, RI 02908
Nurse Practitioner (Psychiatric/Mental Health)
1075 SMITH ST STE 2
PROVIDENCE, RI 02908
Psychologist
1075 SMITH ST STE 2
PROVIDENCE, RI 02908
Psychologist (Clinical)
1075 SMITH ST STE 2
PROVIDENCE, RI 02908
Social Worker
1075 SMITH ST STE 2
PROVIDENCE, RI 02908
Nurse Practitioner (Psychiatric/Mental Health)
1075 SMITH ST STE 2
PROVIDENCE, RI 02908
Psychologist (Clinical)
1075 SMITH ST STE 2
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 Marianela Dougal's NPI number?

The NPI number for Marianela Dougal is 1427247444. It was assigned to this individual provider in the NPPES registry on October 16, 2007. The provider is also known as Marianela Dougal-Vadis Licsw.

Where is Marianela Dougal located?

Marianela Dougal practices at 1075 Smith St Ste 2, Providence, RI 02908. The listed phone number is (401) 369-9224.

What is Marianela Dougal's specialty?

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

Is Marianela Dougal enrolled in Medicare?

Yes. Marianela Dougal is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Marianela Dougal's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Marianela Dougal reassigns Medicare benefits to Providence Behavioral Health Associates Inc (Providence, RI). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Marianela Dougal's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Marianela Dougal accept?

Health plans from Harvard Pilgrim Health Care list Marianela Dougal as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Marianela Dougal was last updated on November 15, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.