Individual provider Active NPI

Lauren Michelle Demattia, LICSW

  • Clinical Social Worker
  • Rumford, RI
National Provider Identifier
1376861955
Registry record updated Apr 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LICSW118931 Issued in MA
Practice address
9 Martha Rd
Rumford, RI 02916-1008
Phone
(508) 498-3654
NPI assigned
May 6, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 26, 2026

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 LICSW118931 MA Primary

Addresses

Primary practice location

9 Martha Rd
Rumford, RI 02916-1008

Mailing address

700 Narragansett Park Dr Ste 100
Pawtucket, RI 02861-4326
Phone (508) 498-3654

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, RI2 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
I20191114003457 MA Practitioner - Clinical Social Worker 7315379245 Reassigns benefits to 1 organization
I20250930000769 RI Practitioner - Clinical Social Worker 7315379245 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

PO Box
Dallas, TX 75373

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Sondermind, P.a. Clinical CurrentSince Sep 1, 2025 Accepting new patients
Sondermind Provider Network LLC Clinical CurrentSince Sep 1, 2025 Accepting new patients

Locations

90 Canal St
Ste 4
Boston, MA 02114
Phone (617) 517-4889

10 Dorrance St
Ste 700
Providence, RI 02903
Phone (401) 200-8242

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": "1273104000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777161600000",
    "number": "1376861955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 NARRAGANSETT PARK DR STE 100",
            "city": "PAWTUCKET",
            "state": "RI",
            "postal_code": "028614326",
            "telephone_number": "508-498-3654"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 MARTHA RD",
            "city": "RUMFORD",
            "state": "RI",
            "postal_code": "029161008",
            "telephone_number": "508-498-3654"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEMATTIA",
        "first_name": "LAUREN",
        "middle_name": "MICHELLE",
        "name_prefix": "Ms.",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-05-06",
        "last_updated": "2026-04-26",
        "certification_date": "2026-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "LICSW118931",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rumford, RI

Sources for this page

Verify at the official NPI Registry.