Individual provider Active NPI

Thomas A Rodrigues

  • Clinical Social Worker
  • Pawtucket, RI
National Provider Identifier
1437838372
Registry record updated Jul 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CSW3319 Issued in RI
Practice address
62 Arland Dr
Pawtucket, RI 02861-1504
Phone
(401) 228-5901
NPI assigned
Jul 17, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2023

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 CSW3319 RI Primary

Addresses

Primary practice location

62 Arland Dr
Pawtucket, RI 02861-1504

Mailing address

62 Arland Dr
Pawtucket, RI 02861-1504
Phone (401) 228-5901

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
I20250711000134 RI Practitioner - Clinical Social Worker 4587179494 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CSW3319RIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Wolf Path Counseling and Wellness Clinical CurrentSince Jul 23, 2023 Accepting new patients
Family Service of Rhode Island, Inc. CurrentSince Apr 25, 2025 Accepting new patients

Locations

55 Hope St
Providence, RI 02906
Phone (401) 519-2230

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": "1689552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689552000000",
    "number": "1437838372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "62 ARLAND DR",
            "city": "PAWTUCKET",
            "state": "RI",
            "postal_code": "028611504",
            "telephone_number": "401-228-5901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "62 ARLAND DR",
            "city": "PAWTUCKET",
            "state": "RI",
            "postal_code": "028611504",
            "telephone_number": "401-228-5901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUES",
        "first_name": "THOMAS",
        "middle_name": "A",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-07-17",
        "last_updated": "2023-07-17",
        "certification_date": "2023-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "RI",
            "license": "CSW3319",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pawtucket, RI

Sources for this page

Verify at the official NPI Registry.