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MR. BRIAN JOSEPH APPLETON LCSW, MSW
NPI 1720978240
Social Worker - Clinical in Middletown, RI

Active since July 07, 2025PECOS EnrolledAccepts Medicare Assignment
42 VALLEY RD, MIDDLETOWN, RI 02842(401) 846-1213(401) 848-9151 Get Directions Write a Review

NPPES record last updated: July 7, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Brian Joseph Appleton Lcsw, Msw NPPES

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

MR. BRIAN JOSEPH APPLETON LCSW, MSW (NPI 1720978240) is an individual clinical provider in Middletown, Rhode Island, licensed in Rhode Island (CSW04133) and active in the NPI registry since July 2025. He is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1720978240
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameMR. BRIAN JOSEPH APPLETONCredential: LCSW, MSW
Location Address42 VALLEY RDMiddletown, RI 02842-6400
Mailing Address130 King Phillip StPortsmouth, RI 02871-5821 · (401) 696-4243
Phone(401) 846-1213
Fax(401) 848-9151
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateJuly 7, 2025
NPPES CertifiedJuly 7, 2025
✔ NPI 1720978240 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 · CSW04133
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.
42 VALLEY RD, Middletown, RI 02842
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mr. Brian Joseph Appleton Lcsw, Msw 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 ID3779098702
PECOS Enrollment IDI20250717000863
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 02842 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.

KATIA E. CUSTER LCSW, MSW
Social Worker (Clinical)
42 VALLEY RD
MIDDLETOWN, RI 02842
Newport County (401) 236-1873
CATHERINE ANNE DAY LMHC-A
Counselor (Mental Health)
42 VALLEY RD
MIDDLETOWN, RI 02842
Newport County (401) 846-1213
ALISON TURNER LMHC
Counselor (Mental Health)
42 VALLEY RD
MIDDLETOWN, RI 02842
Newport County (401) 846-1213
AMY C SANBORN
Counselor (Mental Health)
42 VALLEY RD
MIDDLETOWN, RI 02842
Newport County (401) 846-1213
KATHLEEN MARIE LOSOYA
Social Worker (Clinical)
42 VALLEY RD
MIDDLETOWN, RI 02842
Newport County (401) 846-1213
RILEY GOULET LCSW
Social Worker (Clinical)
42 VALLEY RD
MIDDLETOWN, RI 02842
Newport County (401) 846-1213
ANGELIQUE SMITH RN
Registered Nurse
42 VALLEY RD
MIDDLETOWN, RI 02842
Newport County (401) 843-1213
NEWPORT COUNTY COMMUNITY MENTAL HEALTH CENTER, INC
Clinic/Center (Mental Health (Including Community Mental Health Center))
42 VALLEY RD
MIDDLETOWN, RI 02842
Newport County (401) 846-1213

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 Brian Appleton's NPI number?

The NPI number for Brian Appleton is 1720978240. It was assigned to this individual provider in the NPPES registry on July 7, 2025.

Where is Brian Appleton located?

Brian Appleton practices at 42 Valley Rd, Middletown, RI 02842. The listed phone number is (401) 846-1213.

What is Brian Appleton's specialty?

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

Is Brian Appleton enrolled in Medicare?

Yes. Brian Appleton 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.

When was this NPI record last updated?

The NPPES record for Brian Appleton was last updated on July 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.