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IVY MEDEIROS LICSW
NPI 1831610344
Social Worker - Clinical in Woonsocket, RI

Active since July 06, 2017PECOS Enrolled
245 MAIN ST, WOONSOCKET, RI 02895(401) 235-7000(401) 767-4516 Get Directions Write a Review

NPPES record last updated: April 30, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 30, 2026, Jul 6, 2017 (2 updates tracked since 2017).

About Ivy Medeiros Licsw NPPES

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

IVY MEDEIROS LICSW (NPI 1831610344) is an individual clinical provider in Woonsocket, Rhode Island, licensed in Rhode Island (ISW02077) and active in the NPI registry since July 2017. She is enrolled in Medicare PECOS, maintains a secondary practice location in Seekonk, and is a graduate of Other (1997).

NPPES Registry Identity

NPI1831610344
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameIVY MEDEIROSCredential: LICSW
Location Address245 MAIN STWoonsocket, RI 02895-3123
Mailing AddressPo Box 1700Woonsocket, RI 02895-0856 · (401) 235-7000 · Fax (401) 767-4516
Phone(401) 235-7000
Fax(401) 767-4516
Sole ProprietorNo
Medical School CMSOtherGraduated 1997
Enumeration DateJuly 6, 2017
Last NPPES UpdateApril 30, 20262 updates tracked since enumeration
NPPES CertifiedApril 30, 2026
✔ NPI 1831610344 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 · ISW02077
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.
245 MAIN ST, Woonsocket, RI 02895
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Secondary Practice Location 1

Location 11087 Newman AveSeekonk, MA 02771-4426 · Phone (508) 557-1432 · Fax (508) 318-1117

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, 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 (PECOS)

Ivy Medeiros Licsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2769950096
PECOS Enrollment IDI20260505004490
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 Ivy Medeiros reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Infinite Revival, PC
13 mi
Health Service
1087 NEWMAN AVE UNIT 3
Seekonk, MA 02771
  • Reassigned Medicare billing, Massachusetts enrollment
  • 4 clinicians in this Medicare group
NPI 1467282061 (508) 557-1432

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 02895 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.

DEBORAH JOAN HAYWARD
Case Manager/Care Coordinator
245 MAIN ST
WOONSOCKET, RI 02895
Providence County (401) 235-6072
YIMEI CHENG IX
Interpreter
245 MAIN ST
WOONSOCKET, RI 02895
Providence County (401) 766-0900
COMMUNITY CARE ALLIANCE
Counselor (Mental Health)
245 MAIN ST
WOONSOCKET, RI 02895
Providence County (401) 235-7000
ANA ANTUNES
Interpreter
245 MAIN ST
WOONSOCKET, RI 02895
Providence County (401) 766-0900
THEPDARA BORIBOUN OTRL
Occupational Therapist
245 MAIN ST
WOONSOCKET, RI 02895
Providence County (401) 766-0900
MS. DARLENE BRIGGS MAGAW M.S.
Psychologist
245 MAIN ST
WOONSOCKET, RI 02895
Providence County (401) 235-6015
STEPHANIE M LACHANCE BS
Case Manager/Care Coordinator
245 MAIN ST
WOONSOCKET, RI 02895
Providence County (401) 671-2970
MELANIE REYES
Interpreter
245 MAIN ST
WOONSOCKET, RI 02895
Providence County (401) 766-0900

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 Ivy Medeiros's NPI number?

The NPI number for Ivy Medeiros is 1831610344. It was assigned to this individual provider in the NPPES registry on July 6, 2017.

Where is Ivy Medeiros located?

Ivy Medeiros practices at 245 Main St, Woonsocket, RI 02895. The listed phone number is (401) 235-7000.

What is Ivy Medeiros's specialty?

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

Is Ivy Medeiros enrolled in Medicare?

Yes. Ivy Medeiros is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Ivy Medeiros's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ivy Medeiros reassigns Medicare benefits to Infinite Revival, PC (Seekonk, MA). 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 Ivy Medeiros's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Ivy Medeiros accept?

Health plans from Anthem Blue Cross and Blue Shield and Harvard Pilgrim Health Care list Ivy Medeiros 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 Ivy Medeiros was last updated on April 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.