Individual provider · Type 1 NPI

Annie Avila, LICSW

Clinical Social Worker · Providence, RI

NPI number 1104760479 Active

Practice location

40 Candace St
Providence, RI 02908-3747

Call (401) 444-0550 Map

Fax (401) 444-0425

Mailing address

375 Allens Ave
Providence, RI 02905-5010

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XISW04809 (RI)

Clinical Social Worker: 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 interpers…

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About NPI 1104760479

Annie Avila, LICSW's National Provider Identifier is 1104760479, issued on Apr 16, 2026. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Providence, RI. The record was last updated on Apr 16, 2026.