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

Mary Ridge I, LICSW

Individual provider Clinical Social Worker · NPI 1295834323

Mary Ridge I, LICSW is a Clinical Social Worker in Pawtucket, Rhode Island. Licensed in Rhode Island. Registered with an NPI since 2006.

Licensed in
RI
In the registry since
2006
What do these letters mean?
LICSW — Licensed Independent Clinical Social Worker
The title some states use for an independently practising clinical social worker.

See every abbreviation used in this directory →

Practice location Address checks out

160 Beechwood Ave
Pawtucket, RI 02860-5402
Phone: (401) 722-5573
Fax: (401) 726-5571
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence ISW01744 (RI)

Record details

NPI number1295834323
Entity typeIndividual (Type 1)
GenderFemale
Credentials LICSW
Sole proprietorNo
NPI enumeratedSeptember 22, 2006
Last updated in NPPESJuly 8, 2007

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