Provider Type Icon

EMDR & SOMATIC PSYCHOTHERAPIES OF RHODE ISLAND NPI 1912598046


NPI Information

NPI: 1912598046
Provider Name: EMDR & SOMATIC PSYCHOTHERAPIES OF RHODE ISLAND

Other Name: SOUTH COUNTY MENTAL HEALTH

Classification: Social Worker - 1041C0700X
Entity Type: Organization

Specialization: Clinical

Address:
1 RICHMOND SQ STE 333C
PROVIDENCE, RI
ZIP 02906
Phone: (401) 441-5834
Get Directions

EMDR & SOMATIC PSYCHOTHERAPIES OF RHODE ISLAND is a clinical social worker in Providence, RI. The provider is a social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. EMDR & SOMATIC PSYCHOTHERAPIES OF RHODE ISLAND NPI is 1912598046. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Other Name Is South County Mental Health.

The provider's business location address is:

1 RICHMOND SQ STE 333C
PROVIDENCE, RI
ZIP 02906-139
Phone: (401) 441-5834
Fax: (401) 210-8248

The provider's authorized official is Madrone Phoenix .
The authorized official title is Owner and has the following contact phone number (401) 297-0692.

The enumeration date for this NPI number is 2/1/2021 and was last updated on 10/13/2022.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1101YM0800XCounselorMental HealthNo
2106H00000XMarriage & Family TherapistNo
3363LP0808XNurse PractitionerPsychiatric/Mental HealthNo
41041C0700XSocial WorkerClinicalYes

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: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.