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

MS. Mary E Buckley, LICSW

Individual provider Clinical Social Worker · NPI 1457437600

MS. Mary E Buckley, LICSW is a Clinical Social Worker in Warwick, Rhode Island. Qualified in 1985, 41 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in Connecticut, Massachusetts and Rhode Island.

Years since qualifying
41
Licensed in
CT, MA, RI
In the registry since
2006
Specialties on file
3
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

390 Toll Gate Rd Ste 206
Warwick, RI 02886-4351
Phone: (401) 465-3388
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence ISW00048 (RI)
Clinical Social Worker Taxonomy 1041C0700X · Licence 107188 (MA)
Clinical Social Worker Taxonomy 1041C0700X · Licence 007069 (CT)

Record details

NPI number1457437600
Entity typeIndividual (Type 1)
GenderFemale
Credentials LICSW
Sole proprietorYes
NPI enumeratedOctober 31, 2006
Last updated in NPPESApril 1, 2026
Certification dateApril 1, 2026
Mailing address397 Thompson Rd, Thompson, CT 06277-2215

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 1985 (41 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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