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

Individual provider Clinical Social Worker · NPI 1376662007

Mary C Mueller, LICSW is a Clinical Social Worker in Providence, Rhode Island. Qualified in 1984, 42 years ago. Practices as a sole proprietor, accepts Medicare assignment and offers telehealth. Licensed in Rhode Island.

Years since qualifying
42
Licensed in
RI
In the registry since
2007
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

120 Wayland Ave
Providence, RI 02906
Phone: (401) 273-8889
Fax: (401) 273-9997
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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 ISW00764 (RI)

Record details

NPI number1376662007
Entity typeIndividual (Type 1)
GenderFemale
Credentials LICSW
Sole proprietorYes
NPI enumeratedMarch 27, 2007
Last updated in NPPESJune 9, 2008

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 1984 (42 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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