1. Home
  2. Directory
  3. Rhode Island
  4. Johnston
  5. Social Worker
  6. NPI Profile

MR. TIMOTHY M. WADE JR. LICSW
NPI 1689224750
Social Worker - Clinical in Johnston, RI

Active since September 19, 2019PECOS EnrolledAccepts Medicare Assignment
1443 HARTFORD AVE, JOHNSTON, RI 02919(401) 273-8100(401) 861-8696 Get Directions Write a Review

NPPES record last updated: November 27, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Oct 10, 2019, Sep 19, 2019 (2 updates tracked since 2019).

About Mr. Timothy M. Wade Jr. Licsw NPPES

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

MR. TIMOTHY M. WADE JR. LICSW (NPI 1689224750) is an individual clinical provider in Johnston, Rhode Island, licensed in Rhode Island (ISW04148) and active in the NPI registry since September 2019. He is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1689224750
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameMR. TIMOTHY M. WADE JR.Credential: LICSW
Location Address1443 HARTFORD AVEJohnston, RI 02919-3224
Mailing Address117 Ellenfield St Ste 101Providence, RI 02905-4541 · (401) 444-6779 · Fax (401) 444-6912
Phone(401) 273-8100
Fax(401) 861-8696
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateSeptember 19, 2019
Last NPPES UpdateNovember 27, 20242 updates tracked since enumeration
NPPES CertifiedNovember 27, 2024
✔ NPI 1689224750 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 · ISW04148
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.
1443 HARTFORD AVE, Johnston, RI 02919
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Harvard Pilgrim Health Care.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

Mr. Timothy M. Wade Jr. 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 ID9133552037
PECOS Enrollment IDI20191206002064
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 Timothy Wade reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Gateway Healthcare Inc
7.6 mi
Mental Health (Including Community Mental Health Center)
101-103 BACON ST
Pawtucket, RI 02860
  • Reassigned Medicare billing, Rhode Island enrollment
  • 150 clinicians in this Medicare group
NPI 1821078932 (401) 722-3560

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 02919 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 20

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

SANTANNA ROCHA J.D., M.S.W., LCSW
Social Worker (Clinical)
1443 HARTFORD AVE
JOHNSTON, RI 02919
Providence County (401) 273-8100
LAURIE THORNTON MA, CAGS, LMHC
Counselor
1443 HARTFORD AVE
JOHNSTON, RI 02919
Providence County (401) 273-8100
MIKAYLA KELMER MA
Counselor (Mental Health)
1443 HARTFORD AVE
JOHNSTON, RI 02919
Providence County (401) 273-8100
MCKAYLA ARBIGE MASTERS
Counselor (Mental Health)
1443 HARTFORD AVE
JOHNSTON, RI 02919
Providence County (401) 553-1000
CHERYL LEKHANA PEREJI MHC-A
Counselor (Mental Health)
1443 HARTFORD AVE
JOHNSTON, RI 02919
Providence County (401) 273-8100
VANNESSA SWINSON
Counselor
1443 HARTFORD AVE
JOHNSTON, RI 02919
Providence County (401) 273-8100
OMER CERMIK MD
Psychiatry & Neurology (Psychiatry)
1443 HARTFORD AVE
JOHNSTON, RI 02919
Providence County (401) 273-8100
ELLEN FITZGERALD-MCCALLUM LICSW
Social Worker (Clinical)
1443 HARTFORD AVE
JOHNSTON, RI 02919
Providence County (401) 273-8100

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 Timothy Wade's NPI number?

The NPI number for Timothy Wade is 1689224750. It was assigned to this individual provider in the NPPES registry on September 19, 2019.

Where is Timothy Wade located?

Timothy Wade practices at 1443 Hartford Ave, Johnston, RI 02919. The listed phone number is (401) 273-8100.

What is Timothy Wade's specialty?

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

Is Timothy Wade enrolled in Medicare?

Yes. Timothy Wade 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 Timothy Wade's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Timothy Wade reassigns Medicare benefits to Gateway Healthcare Inc (Pawtucket, 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 Timothy Wade's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Timothy Wade accept?

Health plans from Harvard Pilgrim Health Care list Timothy Wade 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 Timothy Wade was last updated on November 27, 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.