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

Chanta Bryan, LICSW

Individual provider Clinical Social Worker · NPI 1083357750

Chanta Bryan, LICSW is a Clinical Social Worker in Providence, Rhode Island. Qualified in 2022, 4 years ago. Licensed in Rhode Island.

Years since qualifying
4
Licensed in
RI
In the registry since
2022
Specialties on file
3
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

1 Richmond Sq
Providence, RI 02906-5139
Phone: (401) 213-1381
Fax: (401) 572-3364
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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 ISW04791 (RI)
Clinical Social Worker Taxonomy 1041C0700X · Licence CSW02862 (RI)
Case Manager/Care Coordinator Taxonomy 171M00000X

Record details

NPI number1083357750
Entity typeIndividual (Type 1)
GenderFemale
Credentials LICSW
Sole proprietorNo
NPI enumeratedApril 19, 2022
Last updated in NPPESApril 10, 2026
Certification dateApril 10, 2026
Mailing address1 Richmond Sq, Providence, RI 02906-5139

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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