Individual provider Active NPI

Matthew M Dunton

  • Clinical Social Worker
  • Warwick, RI
National Provider Identifier
1316574510
Registry record updated Jan 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CSW02112 Issued in RI
Practice address
469 Centerville Rd Ste 101
Warwick, RI 02886-4355
Phone
(401) 773-3700
NPI assigned
Mar 26, 2020
Last updated
Jan 29, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 29, 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 CSW02112 RI Primary

Addresses

Primary practice location

469 Centerville Rd Ste 101
Warwick, RI 02886-4355

Mailing address

469 Centerville Rd Ste 101
Warwick, RI 02886-4355
Phone (401) 773-3700

Other identifiers 1

IdentifierTypeStateIssuer
ISW03236OtherRILICENSED INDEPENDENT CLINICAL SOCIAL WORKER (LICSW)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in RI, MA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20241017001934 RI Practitioner - Clinical Social Worker 3476085226 Reassigns benefits to 1 organization
I20250610001380 MA Practitioner - Mental Health Counselor 3476085226 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Brightside Behavioral Health LLCGroup PAC ID 4981048501, 14 clinicians

Practice addresses (Care Compare)

179 Highland Ave
Suite 1039
Seekonk, MA 02771-5828
Phone (401) 773-3700

469 Centerville Rd
Suite 105
Warwick, RI 02886-4356
Phone (401) 773-3700

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CSW02112RIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Brightside Behavioral Health, LLC CurrentSince Aug 10, 2024 Accepting new patients

Locations

179 Highland Ave
#1039
Seekonk, MA 02771
Phone (401) 773-3700

469 Centerville Rd
Ste 101
Warwick, RI 02886
Phone (401) 320-7101

469 Centerville Rd
Ste 105
Warwick, RI 02886
Phone (401) 738-9200

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1585180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738108800000",
    "number": "1316574510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "469 CENTERVILLE RD STE 101",
            "city": "WARWICK",
            "state": "RI",
            "postal_code": "028864355",
            "telephone_number": "401-773-3700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "469 CENTERVILLE RD STE 101",
            "city": "WARWICK",
            "state": "RI",
            "postal_code": "028864355",
            "telephone_number": "401-773-3700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUNTON",
        "first_name": "MATTHEW",
        "middle_name": "M",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-03-26",
        "last_updated": "2025-01-29",
        "certification_date": "2025-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "RI",
            "license": "CSW02112",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSED INDEPENDENT CLINICAL SOCIAL WORKER (LICSW)",
            "identifier": "ISW03236",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Warwick, RI

Sources for this page

Verify at the official NPI Registry.