Individual provider Active NPI

Victoria Tiburcio, LCSW

  • Clinical Social Worker
  • Warwick, RI
National Provider Identifier
1417746678
Registry record updated May 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CSW03287 Issued in RI
Practice address
1329 Jefferson Blvd
Warwick, RI 02886-2532
Phone
(401) 477-9446
NPI assigned
May 5, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 5, 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 CSW03287 RI Primary

Addresses

Primary practice location

1329 Jefferson Blvd
Warwick, RI 02886-2532

Mailing address

1329 Jefferson Blvd
Warwick, RI 02886-2532
Phone (401) 477-9446

Other names 1

  • Victoria Gowdey Former name

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
I20260603003287 RI Practitioner - Clinical Social Worker 2668943374 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Arrow Behavioral HealthGroup PAC ID 7618319872, 15 clinicians

Practice addresses (Care Compare)

1329 Jefferson Blvd
Warwick, RI 02886-2532
Phone (401) 447-9446

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CSW03287RIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Arrow Behavioral Health CurrentSince May 11, 2025 Accepting new patients

Locations

1329 Jefferson Blvd
Warwick, RI 02886
Phone (401) 447-9446

200 Toll Gate Rd
Ste 103
Warwick, RI 02886
Phone (401) 447-9446

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": "1746403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746403200000",
    "number": "1417746678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1329 JEFFERSON BLVD",
            "city": "WARWICK",
            "state": "RI",
            "postal_code": "028862532",
            "telephone_number": "401-477-9446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1329 JEFFERSON BLVD",
            "city": "WARWICK",
            "state": "RI",
            "postal_code": "028862532",
            "telephone_number": "401-477-9446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TIBURCIO",
        "first_name": "VICTORIA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-05-05",
        "last_updated": "2025-05-05",
        "certification_date": "2025-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "RI",
            "license": "CSW03287",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "VICTORIA",
            "last_name": "GOWDEY",
            "credential": "LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Warwick, RI

Sources for this page

Verify at the official NPI Registry.