Active NPI
Octavia Shanice Hinton, LCSW
- Clinical Social Worker
- Providence, RI
National Provider Identifier
1235550963
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- CSW03377
- Practice address
- 1 Richmond SQ Ste 300E
Providence, RI 02906-5160 - Phone
- (401) 349-3131
- Fax
- (401) 921-5109
- NPI assigned
- Dec 24, 2013
- 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 | CSW03377 | RI | Primary |
Addresses
Primary practice location
1 Richmond SQ Ste 300E
Providence, RI 02906-5160
Mailing address
2764 Old Highway 64 Apt 3
Crawfordsville, AR 72327-2001
Phone (870) 514-4922
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 |
|---|---|---|---|
| CSW03377 | RI | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Child and Family Psychiatry, Inc. | Mental Health | Current | Accepting new patients |
Locations
1 Richmond Sq
Ste 300E
Providence, RI 02906
Phone (401) 481-8351
Organizations & group practices 1
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": "1387843200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1750291200000",
"number": "1235550963",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2764 OLD HIGHWAY 64 APT 3",
"city": "CRAWFORDSVILLE",
"state": "AR",
"postal_code": "723272001",
"telephone_number": "870-514-4922"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 RICHMOND SQ STE 300E",
"city": "PROVIDENCE",
"state": "RI",
"postal_code": "029065160",
"telephone_number": "401-349-3131",
"fax_number": "401-921-5109"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HINTON",
"first_name": "OCTAVIA",
"middle_name": "SHANICE",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-12-24",
"last_updated": "2025-06-19",
"certification_date": "2025-06-19",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "RI",
"license": "CSW03377",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Providence, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 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.