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EMDR & SOMATIC PSYCHOTHERAPIES OF RHODE ISLAND
NPI 1457015463
Social Worker - Clinical in Providence, RI

Active since October 26, 2021
1 RICHMOND SQ STE 333C, PROVIDENCE, RI 02906(401) 441-5834 Get Directions Write a Review

NPPES record last updated: October 13, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 13, 2022, Nov 2, 2021 (2 updates tracked since 2021).

About Emdr & Somatic Psychotherapies Of Rhode Island NPPES

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

EMDR & SOMATIC PSYCHOTHERAPIES OF RHODE ISLAND (NPI 1457015463) is a healthcare organization registered as a clinical in Providence, Rhode Island and active in the NPI registry since October 2021. The organization lists Madrone Phoenix, Owner, as its authorized official.

NPPES Registry Identity

NPI1457015463
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameEMDR & SOMATIC PSYCHOTHERAPIES OF RHODE ISLAND
Location Address1 RICHMOND SQ STE 333CProvidence, RI 02906-5139
Mailing AddressPo Box 5Kingston, RI 02881-0005 · (401) 441-5834 · Fax (401) 208-0563
Phone(401) 441-5834
Organization SubpartNo
Authorized OfficialMadrone PhoenixOwner · (401) 297-0692
Enumeration DateOctober 26, 2021
Last NPPES UpdateOctober 13, 20222 updates tracked since enumeration
NPPES CertifiedOctober 13, 2022
✔ NPI 1457015463 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
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.
1 RICHMOND SQ STE 333C, Providence, RI 02906
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 4

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

ANNIE-MAY WILLIAMS LCSW
Social Worker (Clinical)
1 RICHMOND SQ STE 333C
PROVIDENCE, RI 02906
Providence County (401) 441-5834
MADRONE BAYAN PHOENIX LICSW
Social Worker (Clinical)
1 RICHMOND SQ STE 333C
PROVIDENCE, RI 02906
Providence County (401) 441-5834
JEREMY MESSENGER LCSW
Social Worker (Clinical)
1 RICHMOND SQ STE 333C
PROVIDENCE, RI 02906
Providence County (401) 441-5834
EMDR & SOMATIC PSYCHOTHERAPIES OF RHODE ISLAND
Social Worker (Clinical)
1 RICHMOND SQ STE 333C
PROVIDENCE, RI 02906
Providence County (401) 441-5834

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 Emdr & Somatic Psychotherapies Of Rhode Island's NPI number?

The NPI number for Emdr & Somatic Psychotherapies Of Rhode Island is 1457015463. It was assigned to this organization in the NPPES registry on October 26, 2021.

Where is Emdr & Somatic Psychotherapies Of Rhode Island located?

Emdr & Somatic Psychotherapies Of Rhode Island is located at 1 Richmond Sq Ste 333C, Providence, RI 02906. The listed phone number is (401) 441-5834.

What is Emdr & Somatic Psychotherapies Of Rhode Island'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 Emdr & Somatic Psychotherapies Of Rhode Island was last updated on October 13, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.