Individual provider Active NPI

Anthony Joseph Taraborelli, LICSW

  • Clinical Social Worker
  • Woonsocket, RI
National Provider Identifier
1821119322
Registry record updated Apr 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
ISW01626 Issued in RI
Practice address
191 Social St Ste 740
Woonsocket, RI 02895-3216
Phone
(401) 829-8838
Fax
(401) 769-1930
NPI assigned
Apr 2, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 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 ISW01626 RI Primary

Addresses

Primary practice location

191 Social St Ste 740
Woonsocket, RI 02895-3216

Mailing address

PO Box 1329
Woonsocket, RI 02895-0839
Phone (401) 829-8838

Other identifiers 3

IdentifierTypeStateIssuer
411961OtherRIBLUE CHIP
6224414OtherRIUNITED BEHAVIORAL HEALTH
29032-4OtherRIBLUE CROSS & BLUE SHIELD

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
I20140529000543 RI Practitioner - Clinical Social Worker 3476576562 Practice locations: Woonsocket, RI

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Boston University School of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1 Social St
Woonsocket, RI 02895-3172
Phone (401) 829-0341

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
ISW01626RIMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1175472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777248000000",
    "number": "1821119322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1329",
            "city": "WOONSOCKET",
            "state": "RI",
            "postal_code": "028950839",
            "telephone_number": "401-829-8838",
            "fax_number": "401-769-1930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "191 SOCIAL ST STE 740",
            "city": "WOONSOCKET",
            "state": "RI",
            "postal_code": "028953216",
            "telephone_number": "401-829-8838",
            "fax_number": "401-769-1930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TARABORELLI",
        "first_name": "ANTHONY",
        "middle_name": "JOSEPH",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-02",
        "last_updated": "2026-04-27",
        "certification_date": "2026-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "RI",
            "license": "ISW01626",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CHIP",
            "identifier": "411961",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED BEHAVIORAL HEALTH",
            "identifier": "6224414",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS & BLUE SHIELD",
            "identifier": "29032-4",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Woonsocket, RI

Sources for this page

Verify at the official NPI Registry.