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

Individual provider Clinical Social Worker · NPI 1841579281

Mary Beth Dziedzic, LICSW is a Clinical Social Worker in Providence, Rhode Island. Licensed in Rhode Island. Registered with an NPI since 2011.

Licensed in
RI
In the registry since
2011
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

530 N Main St
Providence, RI 02904-5762
Phone: (401) 274-2500
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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 ISW02409 (RI)

Record details

NPI number1841579281
Entity typeIndividual (Type 1)
GenderFemale
Credentials LICSW
Sole proprietorNo
NPI enumeratedAugust 16, 2011
Last updated in NPPESJuly 18, 2014

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