Active NPI
Natalie B Clark, MSW, LICSW, LCDP
- Clinical Social Worker
- Cranston, RI
National Provider Identifier
1851647465
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- CSW01940
- Practice address
- 55 Brandon Rd
Cranston, RI 02910-1209 - Phone
- (401) 626-6984
- Fax
- (401) 266-2316
- NPI assigned
- Aug 1, 2012
- Sex
- Female
- Sole proprietor
- Yes
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 | CSW01940 | RI | Primary |
Addresses
Primary practice location
55 Brandon Rd
Cranston, RI 02910-1209
Mailing address
55 Brandon Rd
Cranston, RI 02910-1209
Phone (401) 561-8829
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in RI, MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
55 Brandon Rd
Cranston, RI 02910-1209
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gateway Healthcare Inc | Current | Accepting new patients | |
| We Care Health and Wellness Centers Inc | Addiction (Substance Use Disorder) | Current | Accepting new patients |
| River to Recovery, Inc. | Addiction (Substance Use Disorder) | Current | Accepting new patients |
| The Inner You | Clinical | Past | Accepting new patients |
| Community Care Alliance | Past | Accepting new patients |
Locations
1516 Atwood Ave
Johnston, RI 02919
Phone (401) 463-8829
1 Virginia Ave
Ste 200
Providence, RI 02905
1443 Hartford Ave
Providence, RI 02919
Phone (401) 273-8100
Organizations & group practices 6
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Pawtucket, RI
- NPI 1821078932
-
- Addiction (Substance Use Disorder) Counselor
- Fall River, MA
- NPI 1023651676
-
- Clinical Social Worker
- Warwick, RI
- NPI 1225464209
-
- Addiction (Substance Use Disorder) Counselor
- Fall River, MA
- NPI 1932081098
-
- Community/Behavioral Health Agency
- Woonsocket, RI
- NPI 1013288083
-
- Clinical Social Worker
- Warwick, RI
- NPI 1386177566
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1343779200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1736985600000",
"number": "1851647465",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "55 BRANDON RD",
"city": "CRANSTON",
"state": "RI",
"postal_code": "029101209",
"telephone_number": "401-561-8829",
"fax_number": "401-266-2316"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "55 BRANDON RD",
"city": "CRANSTON",
"state": "RI",
"postal_code": "029101209",
"telephone_number": "401-626-6984",
"fax_number": "401-266-2316"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLARK",
"first_name": "NATALIE",
"middle_name": "B",
"credential": "MSW, LICSW, LCDP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-08-01",
"last_updated": "2025-01-16",
"certification_date": "2025-01-16",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "RI",
"license": "CSW01940",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cranston, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.