Victoria E Breda, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

ISW03191 Issued in RI

Practice address

40 Sprague St Ste 1C
Providence, RI 02907-2576

Phone

(401) 484-7344

Fax

(401) 420-7790

NPI assigned

Aug 1, 2018

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Family Service of Rhode Island, Inc.

  • Adult Mental Health Clinic/Center
  • Providence, RI
  • NPI 1598833535
  Medicare reassignment NPD

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

{
    "created_epoch": "1533081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752192000000",
    "number": "1750869756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 FILLMORE ST",
            "city": "WARWICK",
            "state": "RI",
            "postal_code": "028882744",
            "telephone_number": "401-484-7344",
            "fax_number": "401-420-7790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 SPRAGUE ST STE 1C",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029072576",
            "telephone_number": "401-484-7344",
            "fax_number": "401-420-7790"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "60 Fillmore St",
            "address_purpose": "LOCATION",
            "city": "Warwick",
            "state": "RI",
            "postal_code": "028882744",
            "country_code": "US",
            "telephone_number": "401-484-7344",
            "fax_number": "401-420-7790",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BREDA",
        "first_name": "VICTORIA",
        "middle_name": "E",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-08-01",
        "last_updated": "2025-07-11",
        "certification_date": "2025-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "RI",
            "license": "CSW02176",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "RI",
            "license": "ISW03191",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• India Michelle Braver
• Bravo Wellness & Psychotherapy
• Jose Javier Bravo Zanchez, M.D.
• Conor D. Bray, P.T., D.P.T
• Marlena-Ray Breault, LCDP,ACDP
• Catherine Breen, M.D.
• Elizabeth Mackenzie Breen, PT
• Robert B Breen, PHD
• Paul Breiding, MD
• Jayce Joseph Breig, MD

• Clinical Social Worker in Providence, RI
• Providers in Providence, RI by specialty
• Clinical Social Worker in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2025; 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.

Verify at the official NPI Registry.