MADRONE BAYAN PHOENIX LICSW
NPI 1548779366
Social Worker - Clinical in Providence, RI

Active since September 25, 2017PECOS Enrolled
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: July 26, 2026.

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

About Madrone Bayan Phoenix Licsw NPPES

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

MADRONE BAYAN PHOENIX LICSW (NPI 1548779366) is an individual clinical provider in Providence, Rhode Island, licensed in Rhode Island (CSW02055) and active in the NPI registry since September 2017. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1548779366
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMADRONE BAYAN PHOENIXCredential: LICSW
Location Address1 RICHMOND SQ STE 333CProvidence, RI 02906-5139
Mailing AddressPo Box 5Kingston, RI 02881-0005 · (401) 441-5834
Sole ProprietorYes
Enumeration DateSeptember 25, 2017
Last NPPES UpdateOctober 13, 20222 updates tracked since enumeration
NPPES CertifiedOctober 13, 2022
NPI 1548779366 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 · CSW02055
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

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Madrone Bayan Phoenix Licsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02906 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 4

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

Social Worker (Clinical)
1 RICHMOND SQ STE 333C
PROVIDENCE, RI 02906
Social Worker (Clinical)
1 RICHMOND SQ STE 333C
PROVIDENCE, RI 02906
Social Worker (Clinical)
1 RICHMOND SQ STE 333C
PROVIDENCE, RI 02906
Social Worker (Clinical)
1 RICHMOND SQ STE 333C
PROVIDENCE, RI 02906

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 Madrone Phoenix's NPI number?

The NPI number for Madrone Phoenix is 1548779366. It was assigned to this individual provider in the NPPES registry on September 25, 2017.

Where is Madrone Phoenix located?

Madrone Phoenix practices at 1 Richmond Sq Ste 333C, Providence, RI 02906. The listed phone number is (401) 441-5834.

What is Madrone Phoenix's specialty?

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

Is Madrone Phoenix enrolled in Medicare?

Yes. Madrone Phoenix is registered in the Medicare PECOS enrollment system.

What insurance does Madrone Phoenix accept?

Health plans from Anthem Blue Cross and Blue Shield, Harvard Pilgrim Health Care and Providence Health Plan list Madrone Phoenix 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 Madrone Phoenix was last updated on October 13, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.