Individual provider Active NPI

Brynn Elizabeth Terry, LCSW

  • Clinical Social Worker
  • North Providence, RI
National Provider Identifier
1215758347
Registry record updated Jul 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CSW03738 Issued in RI
Practice address
200 High Service Ave
North Providence, RI 02904-5113
Phone
(401) 456-3400
NPI assigned
Oct 21, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 25, 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 CSW03738 RI Primary

Addresses

Primary practice location

200 High Service Ave
North Providence, RI 02904-5113

Mailing address

111 Walden Way
Cranston, RI 02921-1248
Phone (401) 524-1872

Other practice location 1

825 Chalkstone Ave
Providence, RI 02908-4728
Phone (401) 524-1872

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
I20241106000304 RI Practitioner - Clinical Social Worker 9931633500 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Prospect Chartercare Sjhsri LLCGroup PAC ID 7315179314, 32 clinicians
Prospect Chartercare RWMC, LLCGroup PAC ID 0547492696, 66 clinicians

Practice addresses (Care Compare)

200 High Service Ave
Fatima Hospital Psychiatric/Social Services
N Providence, RI 02904-5113
Phone (401) 456-3496

825 Chalkstone Ave
Providence, RI 02908-4728
Phone (401) 456-2538

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Chartercare Roger Williams Medical Center Clinical CurrentSince May 28, 2025 Accepting new patients
Prospect Chartercare RWMC, LLC Clinical CurrentSince Oct 30, 2024 Accepting new patients
Chartercare Our Lady of Fatima Hospital CurrentSince May 28, 2025 Accepting new patients
Prospect Chartercare RWMC, LLC CurrentSince Oct 30, 2024 Accepting new patients
Chartercare Our Lady of Fatima Hospital CurrentSince May 28, 2025 Accepting new patients
Prospect Chartercare Sjhsri, LLC CurrentSince Oct 30, 2024 Accepting new patients
Prospect Chartercare Sjhsri, LLC CurrentSince Oct 30, 2024 Accepting new patients
Roger Williams Medical Center Past Accepting new patients

Locations

2 Wake Robin Rd
Lincoln, RI 02865
Phone (401) 333-1747

200 High Service Ave
North Providence, RI 02904
Phone (401) 456-3000

825 Chalkstone Ave
Providence, RI 02908
Phone (401) 456-2000

Organizations & group practices 8

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": "1729468800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753401600000",
    "number": "1215758347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 WALDEN WAY",
            "city": "CRANSTON",
            "state": "RI",
            "postal_code": "029211248",
            "telephone_number": "401-524-1872"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 HIGH SERVICE AVE",
            "city": "NORTH PROVIDENCE",
            "state": "RI",
            "postal_code": "029045113",
            "telephone_number": "401-456-3400"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "825 Chalkstone Ave",
            "address_purpose": "LOCATION",
            "city": "Providence",
            "state": "RI",
            "postal_code": "029084728",
            "country_code": "US",
            "telephone_number": "401-524-1872",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TERRY",
        "first_name": "BRYNN",
        "middle_name": "ELIZABETH",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-10-21",
        "last_updated": "2025-07-25",
        "certification_date": "2025-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "RI",
            "license": "CSW03738",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Providence, RI

Sources for this page

Verify at the official NPI Registry.