Individual provider Active NPI

Mary E Madden-Echols, LICSW

  • Clinical Social Worker
  • Portsmouth, RI
National Provider Identifier
1831130558
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
ISW00599 Issued in RI
Practice address
4 Wampanoag Dr
Portsmouth, RI 02871-3608
Phone
(401) 683-5386
Fax
(401) 683-0232
NPI assigned
Jun 10, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 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 ISW00599 RI Primary

Addresses

Primary practice location

4 Wampanoag Dr
Portsmouth, RI 02871-3608

Mailing address

4 Wampanoag Dr
Portsmouth, RI 02871-3608
Phone (401) 683-5386

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
I20040719000413 RI Practitioner - Clinical Social Worker 2668451097 Practice locations: Portsmouth, RI

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4 Wampanoag Dr
Portsmouth, RI 02871-3608
Phone (401) 864-8504

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1149897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1831130558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 WAMPANOAG DR",
            "city": "PORTSMOUTH",
            "state": "RI",
            "postal_code": "028713608",
            "telephone_number": "401-683-5386",
            "fax_number": "401-683-0232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 WAMPANOAG DR",
            "city": "PORTSMOUTH",
            "state": "RI",
            "postal_code": "028713608",
            "telephone_number": "401-683-5386",
            "fax_number": "401-683-0232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MADDEN-ECHOLS",
        "first_name": "MARY",
        "middle_name": "E",
        "name_prefix": "Mrs.",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-10",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "RI",
            "license": "ISW00599",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portsmouth, RI

Sources for this page

Verify at the official NPI Registry.