Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Theodore William Blickwedel II, MSW, LICSW

Individual provider Mental Health Counselor · NPI 1669957932

Mr. Theodore William Blickwedel II, MSW, LICSW is a Mental Health Counselor in Johnston, Rhode Island. Licensed in Rhode Island. Registered with an NPI since 2018.

Licensed in
RI
In the registry since
2018
What do these letters mean?
MSW — Master of Social Work
The graduate degree in social work.
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

1395 Atwood Ave Ste 201
Johnston, RI 02919-4931
Phone: (401) 383-7633
Fax: (877) 266-4503
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence ISW02141 (RI)

Record details

NPI number1669957932
Entity typeIndividual (Type 1)
GenderMale
Credentials MSW , LICSW
Sole proprietorNo
NPI enumeratedOctober 2, 2018
Last updated in NPPESOctober 2, 2018

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