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

MS. Marisa Ann Soch, LICSW

Individual provider Clinical Social Worker · NPI 1558691592

MS. Marisa Ann Soch, LICSW is a Clinical Social Worker in Providence, Rhode Island. Qualified in 2009, 17 years ago. Licensed in Rhode Island.

Years since qualifying
17
Licensed in
RI
In the registry since
2010
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

100 Medway St
Providence, RI 02906-4402
Phone: (401) 421-4100
Fax: (401) 454-5565
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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 ISW02425 (RI)

Record details

NPI number1558691592
Entity typeIndividual (Type 1)
GenderFemale
Credentials LICSW
Sole proprietorNo
NPI enumeratedJanuary 13, 2010
Last updated in NPPESJune 18, 2025
Certification dateJune 18, 2025

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2009 (17 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

Other providers in Providence