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

Individual provider Social Worker · NPI 1699911750

Mr. Edward B Rush, LICSW is a Clinical Social Worker in Riverside, Rhode Island. Qualified in 1999, 27 years ago. Practices with East Bay Community Action Program, a 36-clinician group and accepts Medicare assignment. Licensed in Rhode Island.

Years since qualifying
27
Licensed in
RI
In the registry since
2008
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

610 Wampanoag Trl
Riverside, RI 02915-1504
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 ISW02158 (RI)
Social Worker Taxonomy 104100000X · Licence CSW00528 (RI)

Record details

NPI number1699911750
Entity typeIndividual (Type 1)
GenderMale
Credentials LICSW
Sole proprietorNo
NPI enumeratedDecember 19, 2008
Last updated in NPPESFebruary 13, 2012

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 1999 (27 years in practice)
Group practice East Bay Community Action Program — 36 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in Riverside