Individual provider Active NPI

Tiana T Ochoa Teo, LICSW

  • Clinical Social Worker
  • Providence, RI
National Provider Identifier
1588946990
Registry record updated Feb 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
ISW02776 Issued in RI
Practice address
1 Richmond SQ Ste 333W
Providence, RI 02906-5156
Phone
(401) 692-4353
NPI assigned
Sep 12, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 27, 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 ISW02776 RI Primary

Addresses

Primary practice location

1 Richmond SQ Ste 333W
Providence, RI 02906-5156

Mailing address

390 Broadway Unit 1
Providence, RI 02909-1468
Phone (401) 692-4353

Other practice location 1

55 Hope St
Providence, RI 02906-2001
Phone (401) 331-1350 ext. 61472

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
I20120131000063 RI Practitioner - Clinical Social Worker 8224295423 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
ISW02776RIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Thrive Therapy Services LLC Clinical CurrentSince Feb 9, 2025 Accepting new patients
The Providence Center Past Accepting new patients
The Inner You Clinical PastSince Sep 16, 2020 Accepting new patients

Locations

390 Broadway
Ste 1
Providence, RI 02909
Phone (401) 692-4353

1 Richmond Sq
Ste 333W
Providence, RI 02906
Phone (401) 227-0372

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1315785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772150400000",
    "number": "1588946990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "390 BROADWAY UNIT 1",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029091468",
            "telephone_number": "401-692-4353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 RICHMOND SQ STE 333W",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029065156",
            "telephone_number": "401-692-4353"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "55 Hope St",
            "address_purpose": "LOCATION",
            "city": "Providence",
            "state": "RI",
            "postal_code": "029062001",
            "country_code": "US",
            "telephone_number": "401-331-1350 x61472",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OCHOA TEO",
        "first_name": "TIANA",
        "middle_name": "T",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-09-12",
        "last_updated": "2026-02-27",
        "certification_date": "2026-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "RI",
            "license": "ISW02776",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Providence, RI

Sources for this page

Verify at the official NPI Registry.