Patch Tseng-Putterman, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

ISW04162 Issued in RI

Practice address

1 Richmond SQ Ste 350W
Providence, RI 02906-5165

Phone

(401) 441-5834

Fax

(401) 210-8248

NPI assigned

Dec 16, 2020

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Serena Putterman Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1608076800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744243200000",
    "number": "1437745213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "74 CONSTITUTION ST",
            "city": "BRISTOL",
            "state": "RI",
            "postal_code": "028092138"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 RICHMOND SQ STE 350W",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029065165",
            "telephone_number": "401-441-5834",
            "fax_number": "401-210-8248"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TSENG-PUTTERMAN",
        "first_name": "PATCH",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-12-16",
        "last_updated": "2025-04-10",
        "certification_date": "2025-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ME",
            "license": "LC24215",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "RI",
            "license": "ISW04162",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SERENA",
            "last_name": "PUTTERMAN",
            "credential": "LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jeremy Truntzer, M.D.
• Joseph J Trunzo, PH.D.
• Erica Rosenberg Tsai, MD
• Katherine Tsamourtzis, LICSW
• Maya Tsao-Wu, MD
• Alan Tseng, MD, PHD
• Yun-an Tseng, D.O.
• William G. Tsiaras, M.D.
• Robert J Tubbs, MD
• Teddi Lynn Tubre, M.D.

• Clinical Social Worker in Providence, RI
• Providers in Providence, RI by specialty
• Clinical Social Worker in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.