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

Peyton Rose Judge, LICSW

Individual provider Clinical Social Worker · NPI 1770074205

Peyton Rose Judge, LICSW is a Clinical Social Worker in West Warwick, Rhode Island. Qualified in 2022, 4 years ago. Practices with Thundermist Health Center, a 165-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Rhode Island.

Years since qualifying
4
Licensed in
RI
In the registry since
2018
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

186 Providence St
West Warwick, RI 02893-2508
Phone: (401) 615-2800
Fax: (401) 615-2805
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 1 River St, Wakefield, RI 02879-3214 — (401) 767-4100
  • 450 Clinton St, Woonsocket, RI 02895-3207 — (401) 767-4100

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence ISW04562 (RI)
Clinical Social Worker Taxonomy 1041C0700X · Licence CSW02866 (RI)
Behavior Technician Taxonomy 106S00000X

Record details

NPI number1770074205
Entity typeIndividual (Type 1)
GenderFemale
Credentials LICSW
Sole proprietorNo
NPI enumeratedMay 21, 2018
Last updated in NPPESSeptember 9, 2025
Certification dateSeptember 9, 2025

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Thundermist Health Center — 165 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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