Individual provider Active NPI

Emily Christienne Ticehurst

  • Clinical Social Worker
  • Cranston, RI
National Provider Identifier
1396425658
Registry record updated Sep 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
ISW04127 Issued in RI
Practice address
1020 Park Ave Ste 101
Cranston, RI 02910-3227
Phone
(401) 497-9115
NPI assigned
Jul 21, 2023
Last updated
Sep 21, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 21, 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 ISW04127 RI Primary

Addresses

Primary practice location

1020 Park Ave Ste 101
Cranston, RI 02910-3227

Mailing address

31 Sherwood LN
Barrington, RI 02806-1555
Phone (401) 644-9857

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
I20230824001894 MA Practitioner - Clinical Social Worker 6305209370 Reassigns benefits to 1 organization
I20260608000262 RI Practitioner - Clinical Social Worker 6305209370 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Tmin Services IncGroup PAC ID 0840657862, 42 clinicians

Practice addresses (Care Compare)

800 District Ave
Suite 520
Burlington, MA 01803-5060
Phone (781) 338-7350

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Diversity Counseling LLC CurrentSince May 19, 2026 Accepting new patients
Tmin Services, Inc. CurrentSince Jul 11, 2023 Accepting new patients
Donna Folcarelli & Associates, LLC Clinical CurrentSince Apr 29, 2026 Accepting new patients
Directions for Life Inc CurrentSince May 19, 2026 Accepting new patients

Locations

800 District Ave
Ste 520
Burlington, MA 01803
Phone (781) 338-7350

1020 Park Ave
Ste 101
Cranston, RI 02910
Phone (401) 497-9115

1020 Park Ave
Providence, RI 02910
Phone (401) 396-7649

Organizations & group practices 4

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": "1689897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789948800000",
    "number": "1396425658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31 SHERWOOD LN",
            "city": "BARRINGTON",
            "state": "RI",
            "postal_code": "028061555",
            "telephone_number": "401-644-9857"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1020 PARK AVE STE 101",
            "city": "CRANSTON",
            "state": "RI",
            "postal_code": "029103227",
            "telephone_number": "401-497-9115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TICEHURST",
        "first_name": "EMILY",
        "middle_name": "CHRISTIENNE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-21",
        "last_updated": "2026-09-21",
        "certification_date": "2026-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "RI",
            "license": "ISW04127",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cranston, RI

Sources for this page

Verify at the official NPI Registry.