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

Individual provider Clinical Social Worker · NPI 1447750484

Mary Beth Tavares, LICSW is a Clinical Social Worker in Bristol, Rhode Island. Licensed in Massachusetts. Registered with an NPI since 2018.

Licensed in
MA
In the registry since
2018
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

B6 Bristol Woods Dr
Bristol, RI 02809-2746
Phone: (401) 573-8168
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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 119357 (MA)

Record details

NPI number1447750484
Entity typeIndividual (Type 1)
GenderFemale
Credentials LICSW
Sole proprietorNo
NPI enumeratedFebruary 16, 2018
Last updated in NPPESFebruary 16, 2018

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