MARIANELA DOUGAL LICSW
NPI 1427247444
Social Worker - Clinical in Providence, RI
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
Specialties & Licenses
Other Names 1
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.
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.
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.
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.
PROVIDENCE, RI 02908
PROVIDENCE, RI 02908
PROVIDENCE, RI 02908
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.