Individual provider · Type 1 NPI
Madrone Bayan Phoenix, LICSW
Clinical Social Worker · Providence, RI
Practice location
1 Richmond Sq Ste 333C
Providence, RI 02906-5139
Mailing address
PO Box 5
Kingston, RI 02881-0005
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker Primary | 1041C0700X | CSW02055 (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…
3 other providers at this address
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About NPI 1548779366
Madrone Bayan Phoenix, LICSW's National Provider Identifier is 1548779366, issued on Sep 25, 2017. 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 13, 2022.