SUSAN D MANDEL LICSW MSW NPI 1528163920

NPI Information

  • NPI: 1528163920
  • Provider Name: SUSAN D MANDEL, LICSW MSW
  • Classification: Counselor - 101YM0800X
  • Specialization: Mental Health
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 420 FRUIT HILL AVE
    NORTH PROVIDENCE, RI
    ZIP 02911
  • Phone: (401) 783-3550

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NPI Details

Susan D Mandel, LICSW MSW is a mental health counselor in North Providence, RI with 51 years of experience. Susan D Mandel, LICSW MSW NPI is 1528163920. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

420 FRUIT HILL AVE
NORTH PROVIDENCE, RI
ZIP 02911-647
Phone: (401) 783-3550
Fax: (401) 783-3550

The NPI 1528163920 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 9/13/2006 and was last updated on 3/25/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YM0800XCounselorMental HealthPR0168991NEW YORKNo
2101YM0800XCounselorMental HealthISW01776RHODE ISLANDYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1PR016899-1OTHERNEW YORKLICENSE
2ISW01776OTHERRHODE ISLANDLICENSE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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