Individual provider Active NPI

Robert Brennan Archer, MSW, LICSW, ED. D.

  • Clinical Social Worker
  • Middletown, RI
National Provider Identifier
1184781544
Registry record updated Aug 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
ISW00750 Issued in RI
Practice address
31 John Clarke Rd
Middletown, RI 02842-5641
Phone
(401) 848-4111
Fax
(401) 849-2300
NPI assigned
Jan 3, 2007
Last updated
Aug 12, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 12, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X ISW00750 RI Primary

Addresses

Primary practice location

31 John Clarke Rd
Middletown, RI 02842-5641

Mailing address

29 Gidley St
Newport, RI 02840-3443
Phone (401) 849-5489

Other identifiers 1

IdentifierTypeStateIssuer
11649212OtherRICAQH PROVIDER ID

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)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1167782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754956800000",
    "number": "1184781544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29 GIDLEY ST",
            "city": "NEWPORT",
            "state": "RI",
            "postal_code": "028403443",
            "telephone_number": "401-849-5489"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31 JOHN CLARKE RD",
            "city": "MIDDLETOWN",
            "state": "RI",
            "postal_code": "028425641",
            "telephone_number": "401-848-4111",
            "fax_number": "401-849-2300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARCHER",
        "first_name": "ROBERT",
        "middle_name": "BRENNAN",
        "name_prefix": "Mr.",
        "credential": "MSW, LICSW, ED. D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-03",
        "last_updated": "2025-08-12",
        "certification_date": "2025-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "RI",
            "license": "ISW00750",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH PROVIDER ID",
            "identifier": "11649212",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Middletown, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 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.

Verify at the official NPI Registry.