Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Anthony Michael Marino, LICSW

Individual provider Clinical Social Worker · NPI 1063451623

Anthony Michael Marino, LICSW is a Clinical Social Worker in Cranston, Rhode Island. Qualified in 1991, 35 years ago. Accepts Medicare assignment and offers telehealth. Licensed in Rhode Island.

Years since qualifying
35
Licensed in
RI
In the registry since
2006
What do these letters mean?
LICSW — Licensed Independent Clinical Social Worker
The title some states use for an independently practising clinical social worker.

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Practice location Address checks out

1020 Park Ave Ste 105
Cranston, RI 02910-3227
Phone: (401) 944-9659
Fax: (401) 944-9859
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence ISW00290 (RI)

Record details

NPI number1063451623
Entity typeIndividual (Type 1)
GenderMale
Credentials LICSW
Sole proprietorNo
NPI enumeratedJune 6, 2006
Last updated in NPPESJanuary 15, 2021
Certification dateJanuary 15, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 1991 (35 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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