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

Individual provider Clinical Social Worker · NPI 1508345778

Mrs. Tara Marie Watkins, LICSW is a Clinical Social Worker in Providence, Rhode Island. Qualified in 2005, 21 years ago. Practices with Jewish Collaborative Services, a 4-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Massachusetts and Rhode Island.

Years since qualifying
21
Licensed in
MA, RI
In the registry since
2018
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

1165 N Main St
Providence, RI 02904-5740
Phone: (401) 527-7772
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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 ISW02457 (RI)
Clinical Social Worker Taxonomy 1041C0700X · Licence 114802 (MA)

Record details

NPI number1508345778
Entity typeIndividual (Type 1)
GenderFemale
Credentials LICSW
Sole proprietorYes
NPI enumeratedAugust 8, 2018
Last updated in NPPESMay 4, 2022
Certification dateMay 4, 2022

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2005 (21 years in practice)
Group practice Jewish Collaborative Services — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Providence