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

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1588738603

Michael Heffernan, LICSW, LCDP is an Addiction (Substance Use Disorder) Counselor in Providence, Rhode Island. Practices as a sole proprietor. Licensed in Rhode Island.

Licensed in
RI
In the registry since
2006
Specialties on file
2
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

345 Blackstone Blvd
Providence, RI 02906-4800
Phone: (401) 421-7900
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence LCDP 00193 (RI)
Clinical Social Worker Taxonomy 1041C0700X · Licence ISW 00358 (RI)

Record details

NPI number1588738603
Entity typeIndividual (Type 1)
GenderMale
Credentials LICSW , LCDP
Sole proprietorYes
NPI enumeratedNovember 20, 2006
Last updated in NPPESSeptember 11, 2025

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