Individual provider Active NPI

Alan Mark Stillman, LICSW

  • Clinical Social Worker
  • Warwick, RI
National Provider Identifier
1164562773
Registry record updated May 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
ISW03602 Issued in RI
Practice address
1035 Post Rd
Warwick, RI 02888-3363
Phone
(401) 785-0040
NPI assigned
Feb 6, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 23, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X LCS23530 CA
Clinical Social Worker 1041C0700X ISW03602 RI Primary

Addresses

Primary practice location

1035 Post Rd
Warwick, RI 02888-3363

Mailing address

4800 N Scottsdale Rd Ste 2500
Scottsdale, AZ 85251-7630

Other practice location 1

2916 Eye St
Bakersfield, CA 93301-2011
Phone (661) 636-0566

Other practice location 2

1485 S County Trl Unit 107
East Greenwich, RI 02818-1771
Phone (401) 785-0040

Other practice location 3

989 Reservoir Ave Ste 101
Cranston, RI 02910-5138
Phone (401) 572-3313

Other practice location 4

1 Richmond Sq Ste 300E
Providence, RI 02906-5160
Phone (401) 349-3131

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in RI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240911002650 RI Practitioner - Clinical Social Worker 0143760660 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1971
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Child and Family Psychiatry, Inc.Group PAC ID 5294173464, 90 clinicians

Practice addresses (Care Compare)

1035 Post Rd
Warwick, RI 02888-3363
Phone (401) 785-0040

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LCS23530CAMDClinical Social Worker
ISW03602RIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Child and Family Psychiatry, Inc. Clinical CurrentSince Aug 1, 2024 Accepting new patients
The ASC Treatment Group Past Accepting new patients
ASC Treatment Group Past Accepting new patients

Locations

4800 N Scottsdale Rd
Ste 2500
Scottsdale, AZ 85251
Phone (253) 346-0392

989 Reservoir Ave
Ste 101
Cranston, RI 02910
Phone (401) 572-3313

1485 S County Trl
Unit 107
East Greenwich, RI 02818
Phone (401) 258-1621

1 Richmond Sq
Ste 300E
Providence, RI 02906
Phone (401) 481-8351

1035 Post Rd
Warwick, RI 02888
Phone (401) 941-2830

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1170720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747958400000",
    "number": "1164562773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4800 N SCOTTSDALE RD STE 2500",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852517630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1035 POST RD",
            "city": "WARWICK",
            "state": "RI",
            "postal_code": "028883363",
            "telephone_number": "401-785-0040"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2916 Eye St",
            "address_purpose": "LOCATION",
            "city": "Bakersfield",
            "state": "CA",
            "postal_code": "933012011",
            "country_code": "US",
            "telephone_number": "661-636-0566",
            "fax_number": "661-636-0573",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1485 S County Trl Unit 107",
            "address_purpose": "LOCATION",
            "city": "East Greenwich",
            "state": "RI",
            "postal_code": "028181771",
            "country_code": "US",
            "telephone_number": "401-785-0040",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "989 Reservoir Ave Ste 101",
            "address_purpose": "LOCATION",
            "city": "Cranston",
            "state": "RI",
            "postal_code": "029105138",
            "country_code": "US",
            "telephone_number": "401-572-3313",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1 Richmond Sq Ste 300E",
            "address_purpose": "LOCATION",
            "city": "Providence",
            "state": "RI",
            "postal_code": "029065160",
            "country_code": "US",
            "telephone_number": "401-349-3131",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STILLMAN",
        "first_name": "ALAN",
        "middle_name": "MARK",
        "name_prefix": "Mr.",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-06",
        "last_updated": "2025-05-23",
        "certification_date": "2025-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCS23530",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "RI",
            "license": "ISW03602",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warwick, RI

Sources for this page

Verify at the official NPI Registry.