Active NPI
Wendy M Sousa, LCSW
- Clinical Social Worker
- Providence, RI
National Provider Identifier
1689963407
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- ISW02179
- Practice address
- 55 Hope St
Providence, RI 02906-2001 - Phone
- (401) 331-1350
- Fax
- (401) 277-3385
- NPI assigned
- Apr 1, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | ISW02179 | RI | Primary |
Addresses
Primary practice location
55 Hope St
Providence, RI 02906-2001
Mailing address
77 B Central Pike
Foster, RI 02825
Phone (401) 647-7015
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CSW01211 | RI | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family Service of Rhode Island, Inc. | Current | Accepting new patients |
Locations
55 Hope St
Providence, RI 02906
Phone (401) 519-2230
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.
-
- Adult Mental Health Clinic/Center
- Providence, RI
- NPI 1598833535
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1301616000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1784246400000",
"number": "1689963407",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "77 B CENTRAL PIKE",
"city": "FOSTER",
"state": "RI",
"postal_code": "02825",
"telephone_number": "401-647-7015"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "55 HOPE ST",
"city": "PROVIDENCE",
"state": "RI",
"postal_code": "029062001",
"telephone_number": "401-331-1350",
"fax_number": "401-277-3385"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SOUSA",
"first_name": "WENDY",
"middle_name": "M",
"name_prefix": "Ms.",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-04-01",
"last_updated": "2026-07-17",
"certification_date": "2026-07-17",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "RI",
"license": "ISW02179",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Providence, RI
- Peter Andrew Soukas, M.D.
- Soul Sail Therapy, Inc
- Soulful Healing and Wellness LLC
- Justin Souliere, LICSW
- Darren Jerard Sousa, DO
- Southcoast Psychology,Inc
- Southern New England Healthcare for Women
- Southern New England Retina Associates, PC
- Southside Elementary Charter School
- Southside Elementary Charter School
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.