Active NPIIndividual providerSole proprietor

Mr. Larry M Shushansky, LICSW

Social Worker, Clinical in Lincoln, Rhode Island

NPI Number1891747960
Practice location
6 Wilbur RD, Lincoln, RI 02865-5114
Fax
—
Last updated
July 16, 2025

Larry M Shushansky is a Social Worker, Clinical based in Lincoln, RI. Larry M Shushansky practices in Lincoln, RI and has the professional credentials of LICSW. The NPI Number for Larry M Shushansky is 1891747960 and holds a License No. ISW00391 (RI). The current practice location address for Larry M Shushansky is 6 Wilbur RD, Lincoln, RI 02865-5114 and can be reached out via phone at 401-829-1209.

Provider Profile Details

NPI Number
1891747960
Provider Name
Larry M Shushansky
Credential
LICSW
Provider Entity Type
Individual
Gender
Male
Address
6 Wilbur RD, Lincoln, RI 02865-5114
Phone Number
401-829-1209
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
Yes
Provider Enumeration Date
May 17, 2006
Last Update Date
July 16, 2025
Certification Date
July 16, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
6 Wilbur RD
Lincoln, RI 02865-5114
Zip
02865-5114
Phone Number
401-829-1209
Lincoln, RI 02865Get directions →

Provider Business Mailing Address Details

Address
6 Wilbur RD
Lincoln, RI 02865-5114
City
Lincoln
State
RI
Zip
02865-5114
Phone Number
401-829-1209

License Information

License Number
ISW00391
License State
RI
Taxonomy
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 Mr. Larry M Shushansky, LICSW?

The NPI number of Mr. Larry M Shushansky, LICSW is 1891747960. It was assigned on May 17, 2006 and is currently active in the NPPES registry.

What is the specialty of Mr. Larry M Shushansky, LICSW?

Mr. Larry M Shushansky, LICSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in RI under license number ISW00391.

Where does Mr. Larry M Shushansky, LICSW practice?

The practice location is 6 Wilbur RD, Lincoln, RI 02865-5114. The office can be reached at 401-829-1209 (phone).

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 1891747960 directly on the NPPES registry website.

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