Active NPI
Sheila M Mooney, LICSW
- Clinical Social Worker
- Johnston, RI
National Provider Identifier
1720020522
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- ISW01005
- Practice address
- 1534 Atwood Ave
Suite 213
Johnston, RI 02919-3223 - Phone
- (401) 351-0400
- Fax
- (401) 351-0410
- NPI assigned
- Jun 13, 2006
- 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 | ISW01005 | RI | Primary |
Addresses
Primary practice location
1534 Atwood Ave
Suite 213
Johnston, RI 02919-3223
Mailing address
10 Orms St
Suite 110
Providence, RI 02904-2228
Phone (401) 453-0666
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 407729 | Other | RI | BLUE CHIP PROVIDER # |
| 30859-1 | Other | RI | BLUE SHIELD PROVIDER # |
| 81209 | Other | RI | UNITED HEALTH PROVIDER # |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ISW01005 | RI | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Providence Center | Past | Accepting new patients | |
| The Providence Center | Past | Accepting new patients | |
| Whitman Counseling | Past | Accepting new patients | |
| The Providence Center Inc | Clinical | Past | Accepting new patients |
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.
-
- Community/Behavioral Health Agency
- Providence, RI
- NPI 1134977598
-
- Emotionally Disturbed Childrens' Residential Treatment Facility
- Providence, RI
- NPI 1609818210
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Providence, RI
- NPI 1104847946
Clinical
-
- Exclusive Provider Organization
- Whitman, MA
- NPI 1194051524
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150156800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1720020522",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10 ORMS ST",
"address_2": "SUITE 110",
"city": "PROVIDENCE",
"state": "RI",
"postal_code": "029042228",
"telephone_number": "401-453-0666",
"fax_number": "401-453-9619"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1534 ATWOOD AVE",
"address_2": "SUITE 213",
"city": "JOHNSTON",
"state": "RI",
"postal_code": "029193223",
"telephone_number": "401-351-0400",
"fax_number": "401-351-0410"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOONEY",
"first_name": "SHEILA",
"middle_name": "M",
"credential": "LICSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-13",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "RI",
"license": "ISW01005",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CHIP PROVIDER #",
"identifier": "407729",
"state": "RI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD PROVIDER #",
"identifier": "30859-1",
"state": "RI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTH PROVIDER #",
"identifier": "81209",
"state": "RI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Johnston, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.