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

Individual provider Clinical Social Worker · NPI 1982008231

John Reardon, LICSW is a Clinical Social Worker in Providence, Rhode Island. Licensed in Rhode Island. Registered with an NPI since 2014.

Licensed in
RI
In the registry since
2014
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

134 Thurbers Ave
Providence, RI 02905-4754
Phone: (401) 331-1350
Fax: (401) 277-3366
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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 ISW02479 (RI)

Record details

NPI number1982008231
Entity typeIndividual (Type 1)
GenderMale
Credentials LICSW
Sole proprietorNo
NPI enumeratedOctober 15, 2014
Last updated in NPPESOctober 15, 2014

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