Active NPIIndividual provider

Andrea Mcdonald, LICSW

Social Worker, Clinical in Riverside, Rhode Island

NPI Number1134645658
Practice location
501 Wampanoag Trl Unit 400, Riverside, RI 02915-1507
Fax
401-941-7847
Last updated
July 28, 2025

Andrea Mcdonald is a Social Worker, Clinical based in Riverside, RI. Andrea Mcdonald practices in Riverside, RI and has the professional credentials of LICSW. The NPI Number for Andrea Mcdonald is 1134645658 and holds a License No. 119603 (MA). The current practice location address for Andrea Mcdonald is 501 Wampanoag Trl Unit 400, Riverside, RI 02915-1507 and can be reached out via phone at 401-785-0040 and via fax at 401-941-7847.

Provider Profile Details

NPI Number
1134645658
Provider Name
Andrea Mcdonald
Credential
LICSW
Provider Entity Type
Individual
Gender
Female
Address
501 Wampanoag Trl Unit 400, Riverside, RI 02915-1507
Phone Number
401-785-0040
Fax Number
401-941-7847
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
No
Provider Enumeration Date
August 16, 2017
Last Update Date
July 28, 2025
Certification Date
July 28, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
501 Wampanoag Trl Unit 400
Riverside, RI 02915-1507
Zip
02915-1507
Phone Number
401-785-0040
Fax Number
401-941-7847
Riverside, RI 02915Get directions →

Provider Business Mailing Address Details

Address
42 Valley RD
Middletown, RI 02842-6400
City
Middletown
State
RI
Zip
02842-6400
Phone Number
480-495-1368

License Information

License Number (1)
119603
License State (1)
MA
Taxonomy (1)
Social Worker, Clinical · 1041C0700X
License Number (2)
ISW02360
License State (2)
RI
Taxonomy (2)
Social Worker, Clinical · 1041C0700X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Andrea Mcdonald, LICSW?

The NPI number of Andrea Mcdonald, LICSW is 1134645658. It was assigned on August 16, 2017 and is currently active in the NPPES registry.

What is the specialty of Andrea Mcdonald, LICSW?

Andrea Mcdonald, LICSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in MA under license number 119603.

Where does Andrea Mcdonald, LICSW practice?

The practice location is 501 Wampanoag Trl Unit 400, Riverside, RI 02915-1507. The office can be reached at 401-785-0040 (phone) or 401-941-7847 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1134645658 directly on the NPPES registry website.

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