Malcolm Rose Sushchyk, LICSW00012367
Malcolm Rose Sushchyk, LICSW00012367 is a Clinical Social Worker in Providence, Rhode Island. Licensed in California, Massachusetts and Rhode Island. Registered with an NPI since 2014.
- Licensed in
- CA, MA, RI
- In the registry since
- 2014
- Specialties on file
- 3
Practice location Address checks out
380 BroadwayProvidence, RI 02909-1416
Phone: (650) 516-6672
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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 ISW03525 (RI) |
|---|---|
| Clinical Social Worker | Taxonomy 1041C0700X · Licence 99467 (CA) |
| Clinical Social Worker | Taxonomy 1041C0700X · Licence 123679 (MA) |
Record details
| NPI number | 1215343231 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | LICSW00012367 |
| Sole proprietor | No |
| NPI enumerated | July 10, 2014 |
| Last updated in NPPES | October 28, 2025 |
| Certification date | October 28, 2025 |
Other providers in Providence
-
Jessica Stults, LICSW
305 S Main St Ste C, Providence, RI 02903-7133 · (401) 415-7254
-
Wendy Marisela Suchite
125 Wendell St # 2, Providence, RI 02909-2112 · (401) 403-7884
-
Shannon Sullivan, LCSW
101 Dudley St, Providence, RI 02905-2401 · (401) 274-1100
-
Mrs. Kristen Angell Sundin, LICSW
345 Blackstone Blvd, Providence, RI 02906-4800 · (401) 455-6586
-
Mr. David A Swain, LICSW
35 S Angell St, Providence, RI 02906-5206 · (401) 632-4045
-
Mr. Richard T Synnott, MSW
Providence VA Medical Center 830 Chalkstone Ave, Providence, RI 02908-4799 · (401) 273-7100
-
Rachel Taggart, LICSW
10 Dorrance St Ste 700, Providence, RI 02903-2014 · (617) 398-0840
-
Yumin Tan-Gutierrez
331 Broadway Ste 201, Providence, RI 02909-1101 · (401) 889-4688