Madrone Phoenix, LICSW
NPI 1548779366 · Clinical Social Worker · Providence, RI
Enrolled with Medicare as Practitioner - Clinical Social Worker · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Madrone Phoenix, LICSW is a Clinical Social Worker provider in Providence, RI (NPI 1548779366).
Provider details
- NPI number
- 1548779366
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Credential
- LICSW
- Sex
- Female
- Sole proprietor
- Yes
- License
- CSW02055 (RI)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2017-09-25
- Last updated
- 2022-10-13
- Certified
- 2022-10-13
Frequently asked questions
- What is Madrone Phoenix's NPI number?
- Madrone Phoenix's National Provider Identifier (NPI) is 1548779366, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Madrone Phoenix's specialty?
- Madrone Phoenix is listed in the NPPES registry with a primary specialty of Clinical Social Worker (Behavioral Health & Social Service Providers).
- Where is Madrone Phoenix located?
- Madrone Phoenix's practice location on file with NPPES is 1 Richmond Sq Ste 333c, Providence, RI 02906-5139.
- What is Madrone Phoenix's phone number?
- The practice phone number listed in the NPPES registry for Madrone Phoenix is (401) 441-5834.
- Does Madrone Phoenix accept Medicare?
- Madrone Phoenix is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Madrone Phoenix's NPI active?
- Yes — Madrone Phoenix's NPI (1548779366) is active in the NPPES registry as of the last update on 2022-10-13.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.