Active NPIIndividual provider

Shalyn D Fava, LICSW

Social Worker, Clinical in Cranston, Rhode Island

NPI Number1972070761
Practice location
1170 Pontiac Ave Ste 100, Cranston, RI 02920-7944
Fax
—
Last updated
October 29, 2026

Shalyn Danielle Fava is a Social Worker, Clinical based in Cranston, RI. Shalyn Danielle Fava practices in Cranston, RI and has the professional credentials of LICSW. The NPI Number for Shalyn Danielle Fava is 1972070761 and holds a License No. ISW03016 (RI). The current practice location address for Shalyn Danielle Fava is 1170 Pontiac Ave Ste 100, Cranston, RI 02920-7944 and can be reached out via phone at 401-343-4343.

Provider Profile Details

NPI Number
1972070761
Provider Name
Shalyn Danielle Fava
Credential
LICSW
Provider Entity Type
Individual
Gender
Female
Address
1170 Pontiac Ave Ste 100, Cranston, RI 02920-7944
Phone Number
401-343-4343
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
No
Provider Enumeration Date
October 30, 2018
Last Update Date
October 29, 2026
Certification Date
October 29, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
1170 Pontiac Ave Ste 100
Cranston, RI 02920-7944
Zip
02920-7944
Phone Number
401-343-4343
Cranston, RI 02920Get directions →

Provider Business Mailing Address Details

Address
1170 Pontiac Ave Ste 100
Cranston, RI 02920-7944
City
Cranston
State
RI
Zip
02920-7944
Phone Number
401-343-4343

License Information

License Number
ISW03016
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 Shalyn D Fava, LICSW?

The NPI number of Shalyn D Fava, LICSW is 1972070761. It was assigned on October 30, 2018 and is currently active in the NPPES registry.

What is the specialty of Shalyn D Fava, LICSW?

Shalyn D Fava, LICSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in RI under license number ISW03016.

Where does Shalyn D Fava, LICSW practice?

The practice location is 1170 Pontiac Ave Ste 100, Cranston, RI 02920-7944. The office can be reached at 401-343-4343 (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 1972070761 directly on the NPPES registry website.

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