Individual provider · Type 1 NPI

Ivy Medeiros, LICSW

Clinical Social Worker · Woonsocket, RI

NPI number 1831610344 Active

Practice location

245 Main St
Woonsocket, RI 02895-3123

Call (401) 235-7000 Map

Fax (401) 767-4516

Mailing address

PO Box 1700
Woonsocket, RI 02895-0856

Other practice locations

  • 1087 Newman Ave, Seekonk, MA 02771-4426 · (508) 557-1432

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XISW02077 (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 1831610344

Ivy Medeiros, LICSW's National Provider Identifier is 1831610344, issued on Jul 6, 2017. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Woonsocket, RI. The record was last updated on Apr 30, 2026.