Individual provider Active NPI

Cindy Rodrigues Medeiros, LICSW

  • Clinical Social Worker
  • Fall River, MA
National Provider Identifier
1811214182
Registry record updated Sep 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LICSW117571 Issued in MA
Practice address
1563 N Main St
Fall River, MA 02720-2983
Phone
(508) 324-1060
NPI assigned
Apr 27, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X LICSW117571 MA Primary
Social Worker 104100000X

Addresses

Primary practice location

1563 N Main St
Fall River, MA 02720-2983

Mailing address

65 Hambly Rd
Tiverton, RI 02878-2103
Phone (401) 573-7201

Other practice location 1

88 Washington St
Taunton, MA 02780-2465
Phone (508) 828-7549

Other practice location 2

795 Middle St
Fall River, MA 02721-1733
Phone (508) 674-5600

Other names 1

  • Cindy Rodrigues Medeiros Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20191105000783 MA Practitioner - Clinical Social Worker 8426380817 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
South Bay Mental Health Past Accepting new patients

Organizations & group practices 3

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": "1272326400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788998400000",
    "number": "1811214182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "65 HAMBLY RD",
            "city": "TIVERTON",
            "state": "RI",
            "postal_code": "028782103",
            "telephone_number": "401-573-7201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1563 N MAIN ST",
            "city": "FALL RIVER",
            "state": "MA",
            "postal_code": "027202983",
            "telephone_number": "508-324-1060"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "88 Washington St",
            "address_purpose": "LOCATION",
            "city": "Taunton",
            "state": "MA",
            "postal_code": "027802465",
            "country_code": "US",
            "telephone_number": "508-828-7549",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "795 Middle St",
            "address_purpose": "LOCATION",
            "city": "Fall River",
            "state": "MA",
            "postal_code": "027211733",
            "country_code": "US",
            "telephone_number": "508-674-5600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MEDEIROS",
        "first_name": "CINDY",
        "middle_name": "RODRIGUES",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-04-27",
        "last_updated": "2026-09-10",
        "certification_date": "2026-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "LICSW117571",
            "primary": true
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CINDY",
            "last_name": "MEDEIROS",
            "middle_name": "RODRIGUES",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Fall River, MA

Sources for this page

Verify at the official NPI Registry.