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

Nicole Mahan, LICSW

Individual provider Clinical Social Worker · NPI 1720726045

Nicole Mahan, LICSW is a Clinical Social Worker in Providence, Rhode Island. Registered with an NPI since 2022.

In the registry since
2022
What do these letters mean?
LICSW — Licensed Independent Clinical Social Worker
The title some states use for an independently practising clinical social worker.

See every abbreviation used in this directory →

Practice location Address checks out

1085 N Main St
Providence, RI 02904-5719
Phone: (401) 415-4200
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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

Record details

NPI number1720726045
Entity typeIndividual (Type 1)
GenderFemale
Credentials LICSW
Sole proprietorNo
NPI enumeratedMay 25, 2022
Last updated in NPPESMay 25, 2022
Certification dateMay 25, 2022

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