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

Individual provider Clinical Social Worker · NPI 1548779366

Madrone Bayan Phoenix, LICSW is a Clinical Social Worker in Providence, Rhode Island. Practices as a sole proprietor. Licensed in Rhode Island.

Licensed in
RI
In the registry since
2017
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 Ste 333C
Providence, RI 02906-5139
Phone: (401) 441-5834
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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 CSW02055 (RI)

Record details

NPI number1548779366
Entity typeIndividual (Type 1)
GenderFemale
Credentials LICSW
Sole proprietorYes
NPI enumeratedSeptember 25, 2017
Last updated in NPPESOctober 13, 2022
Certification dateOctober 13, 2022

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