Michelle A Mathiesen, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

ISW01689 Issued in RI

Practice address

160 Draper Ave
Warwick, RI 02889-5047

Phone

(401) 732-5200

Fax

(401) 737-2302

NPI assigned

May 15, 2006

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 5

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Child Inc.

  • Community/Behavioral Health Agency
  • Warwick, RI
  • NPI 1760547582

  Clinical

  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1147651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774828800000",
    "number": "1154372191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 DUKE ST",
            "city": "EAST GREENWICH",
            "state": "RI",
            "postal_code": "028183819",
            "telephone_number": "401-885-3108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 DRAPER AVE",
            "city": "WARWICK",
            "state": "RI",
            "postal_code": "028895047",
            "telephone_number": "401-732-5200",
            "fax_number": "401-737-2302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATHIESEN",
        "first_name": "MICHELLE",
        "middle_name": "A",
        "name_prefix": "Ms.",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-15",
        "last_updated": "2026-03-30",
        "certification_date": "2026-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "RI",
            "license": "ISW01689",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEIGHBORHOOD HEALTH PLAN",
            "identifier": "1032430",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "29590-9",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CHIP",
            "identifier": "412646",
            "state": "RI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "MM54608",
            "state": "RI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "MM59098",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Colby M Masse
• Eric Mastrogiacomo, DO
• Stephen Lawrence Matarese, DO
• Lauren Nicole Mateja, PA-C
• Lisa F Mathers
• Abhay Mathur, MD
• Allegra Bernardo Matook, PA-C
• Tatiana Matos, MT
• Alla Matsievskaya, M.D.
• Adam C Matson, MD

• Clinical Social Worker in Warwick, RI
• Providers in Warwick, RI by specialty
• Clinical Social Worker in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.