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

Individual provider Clinical Social Worker · NPI 1790473619

Justin Ryan Feeney, LICSW is a Clinical Social Worker in Providence, Rhode Island. Licensed in Rhode Island. Registered with an NPI since 2023.

Licensed in
RI
In the registry since
2023
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

40 Samoset Ave
Providence, RI 02908-3816
Phone: (774) 955-2663
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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 ISW03685 (RI)

Record details

NPI number1790473619
Entity typeIndividual (Type 1)
GenderMale
Credentials LICSW
Sole proprietorNo
NPI enumeratedApril 27, 2023
Last updated in NPPESApril 27, 2023
Certification dateApril 27, 2023

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