Individual provider Active NPI

Cecily Shannon O'Leary, LCSW

  • Clinical Social Worker
  • Warwick, RI
National Provider Identifier
1871384693
Registry record updated May 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CSW03958 Issued in RI
Practice address
1045 Warwick Ave Ste 101
Warwick, RI 02888-3657
Phone
(401) 480-5900
NPI assigned
May 13, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 13, 2025

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 LCSW231054 MA
Clinical Social Worker 1041C0700X CSW03958 RI Primary

Addresses

Primary practice location

1045 Warwick Ave Ste 101
Warwick, RI 02888-3657

Mailing address

55 N Shore Dr Unit 2
Riverside, RI 02915-2905
Phone (978) 257-3927

Other identifiers 3

IdentifierTypeStateIssuer
LCSW231054OtherMATHE COMMONWEALTH OF MASSACHUSETTS DEPARTMENT OF PUBLIC HEALTH
S56519908OtherMAMASSACHUSETTS DEPARTMENT OF MOTOR VEHICLES
CSW03958OtherRIRHODE ISLAND DEPARTMENT OF HEALTH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
LCSW231054MAMDClinical Social Worker
CSW03958RIMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1747094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747094400000",
    "number": "1871384693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 N SHORE DR UNIT 2",
            "city": "RIVERSIDE",
            "state": "RI",
            "postal_code": "029152905",
            "telephone_number": "978-257-3927"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1045 WARWICK AVE STE 101",
            "city": "WARWICK",
            "state": "RI",
            "postal_code": "028883657",
            "telephone_number": "401-480-5900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'LEARY",
        "first_name": "CECILY",
        "middle_name": "SHANNON",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-05-13",
        "last_updated": "2025-05-13",
        "certification_date": "2025-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "LCSW231054",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "RI",
            "license": "CSW03958",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "THE COMMONWEALTH OF MASSACHUSETTS DEPARTMENT OF PUBLIC HEALTH",
            "identifier": "LCSW231054",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MASSACHUSETTS DEPARTMENT OF MOTOR VEHICLES",
            "identifier": "S56519908",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RHODE ISLAND DEPARTMENT OF HEALTH",
            "identifier": "CSW03958",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Warwick, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.