Individual provider Active NPI

Sabrina Mazzilli, LICSW

  • Clinical Social Worker
  • Providence, RI
National Provider Identifier
1245874650
Registry record updated Feb 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
ISW03368 Issued in RI
Practice address
10 Davol SQ Ste 100
Providence, RI 02903-4752
Phone
(401) 400-2403
NPI assigned
Oct 30, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 18, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X
Professional Counselor 101YP2500X ISW03368 RI
Clinical Social Worker 1041C0700X ISW03368
Clinical Social Worker 1041C0700X ISW03368 RI Primary

Addresses

Primary practice location

10 Davol SQ Ste 100
Providence, RI 02903-4752

Mailing address

PO Box 100252
Cranston, RI 02910-0064
Phone (401) 400-2403

Other practice location 1

1275 Wampanoag Trl Ste 8B
Riverside, RI 02915-1217
Phone (401) 405-0700

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
I20250414000483 RI Practitioner - Clinical Social Worker 6002330909 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
ISW03368RIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Empowering Road, LLC Mental Health CurrentSince Feb 23, 2025 Accepting new patients
Cumberland Counseling, LLC Mental Health CurrentSince Mar 30, 2025 Accepting new patients

Locations

175 Nate Whipple Hwy
Ste 202
Cumberland, RI 02864
Phone (401) 405-0700

175 Nate Whipple Hwy
Cumberland, RI 02864
Phone (401) 405-0700

10 Davol Sq
Ste 100
Providence, RI 02903
Phone (401) 236-7226

1275 Wampanoag Trl
Ste 8B
Riverside, RI 02915
Phone (401) 401-0700

Organizations & group practices 2

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": "1572393600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739836800000",
    "number": "1245874650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 100252",
            "city": "CRANSTON",
            "state": "RI",
            "postal_code": "029100064",
            "telephone_number": "401-400-2403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 DAVOL SQ STE 100",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029034752",
            "telephone_number": "401-400-2403"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1275 Wampanoag Trl Ste 8B",
            "address_purpose": "LOCATION",
            "city": "Riverside",
            "state": "RI",
            "postal_code": "029151217",
            "country_code": "US",
            "telephone_number": "401-405-0700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAZZILLI",
        "first_name": "SABRINA",
        "name_prefix": "Mrs.",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-10-30",
        "last_updated": "2025-02-18",
        "certification_date": "2025-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "RI",
            "license": "ISW03368",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": "ISW03368",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "RI",
            "license": "ISW03368",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Providence, RI

Sources for this page

Verify at the official NPI Registry.