Individual provider · Type 1 NPI

Talyah Gonsalves

Clinical Social Worker · Providence, RI

NPI number 1104794650 Active

Practice location

400 Reservoir Ave Ste 2K
Providence, RI 02907-3594

Call (401) 753-8078 Map

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X2120540 (MA)
Clinical Social Worker 1041C0700XCSW04384 (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 1104794650

Talyah Gonsalves's National Provider Identifier is 1104794650, issued on Oct 27, 2025. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Providence, RI. The record was last updated on Oct 17, 2026.