Individual provider · Type 1 NPI
Malcolm Rose Sushchyk, LICSW 00012367
Clinical Social Worker · Providence, RI
Practice location
380 Broadway
Providence, RI 02909-1416
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker | 1041C0700X | 99467 (CA) |
| Clinical Social Worker Primary | 1041C0700X | ISW03525 (RI) |
| Clinical Social Worker | 1041C0700X | 123679 (MA) |
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…
2 other providers at this address
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About NPI 1215343231
Malcolm Rose Sushchyk, LICSW 00012367's National Provider Identifier is 1215343231, issued on Jul 10, 2014. 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 28, 2025.