Active NPI
Maya E Sunderland, LICSW
- Clinical Social Worker
- Barrington, RI
National Provider Identifier
1093324121
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- ISW04356
- Practice address
- 310 Maple Ave Ste L04
Barrington, RI 02806-3431 - Phone
- (401) 646-9354
- Fax
- (508) 676-1948
- NPI assigned
- Jul 24, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | ISW04356 | RI | Primary |
Addresses
Primary practice location
310 Maple Ave Ste L04
Barrington, RI 02806-3431
Mailing address
310 Maple Ave Ste L04
Barrington, RI 02806-3431
Phone (401) 646-9354
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ISW04356 | RI | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Applied Behavioral Interventions, Psychology, PT, OT, SLP, LMSW, PLLC. | Clinical | Past | Accepting new patients |
| Child & Family Services, Inc. | Mental Health | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
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Clinical
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1595548800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1746403200000",
"number": "1093324121",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "310 MAPLE AVE STE L04",
"city": "BARRINGTON",
"state": "RI",
"postal_code": "028063431",
"telephone_number": "401-646-9354",
"fax_number": "508-676-1948"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "310 MAPLE AVE STE L04",
"city": "BARRINGTON",
"state": "RI",
"postal_code": "028063431",
"telephone_number": "401-646-9354",
"fax_number": "508-676-1948"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SUNDERLAND",
"first_name": "MAYA",
"middle_name": "E",
"credential": "LICSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-07-24",
"last_updated": "2025-05-05",
"certification_date": "2025-05-05",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "RI",
"license": "ISW04356",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Barrington, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.