Individual provider Active NPI

David Tulli, LICSW

  • Clinical Social Worker
  • Warwick, RI
National Provider Identifier
1487775573
Registry record updated Aug 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
ISW02000 Issued in RI
Practice address
235 Haswill St
Warwick, RI 02889-8732
Phone
(401) 533-2500
Fax
(401) 944-2154
NPI assigned
Apr 3, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 3, 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 ISW02000 RI Primary

Addresses

Primary practice location

235 Haswill St
Warwick, RI 02889-8732

Mailing address

235 Haswill St
Warwick, RI 02889-8732
Phone (401) 533-2500

Other practice location 1

239 Haswill St
Warwick, RI 02889-8732
Phone (401) 533-2500

Other identifiers 1

IdentifierTypeStateIssuer
DT65433MedicaidRI

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
I20100222000346 RI Practitioner - Clinical Social Worker 4284778747 Practice locations: Cranston, RI

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

935 Reservoir Ave
Cranston, RI 02910-4437
Phone (401) 533-2500

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
PVD Cares Wellness Center LLC PastSince Mar 1, 2020 Accepting new patients

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": "1175558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785715200000",
    "number": "1487775573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "235 HASWILL ST",
            "city": "WARWICK",
            "state": "RI",
            "postal_code": "028898732",
            "telephone_number": "401-533-2500",
            "fax_number": "401-944-2154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "235 HASWILL ST",
            "city": "WARWICK",
            "state": "RI",
            "postal_code": "028898732",
            "telephone_number": "401-533-2500",
            "fax_number": "401-944-2154"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "239 Haswill St",
            "address_purpose": "LOCATION",
            "city": "Warwick",
            "state": "RI",
            "postal_code": "028898732",
            "country_code": "US",
            "telephone_number": "401-533-2500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TULLI",
        "first_name": "DAVID",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-03",
        "last_updated": "2026-08-03",
        "certification_date": "2026-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "RI",
            "license": "ISW02000",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "DT65433",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Warwick, RI

Sources for this page

Verify at the official NPI Registry.