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

Individual provider Clinical Social Worker · NPI 1073891834

Todd M Cassidy, LICSW is a Clinical Social Worker in Providence, Rhode Island. Qualified in 2011, 15 years ago. Practices with Gateway Healthcare Inc, a 64-clinician group and accepts Medicare assignment. Licensed in Massachusetts and Rhode Island.

Years since qualifying
15
Licensed in
MA, RI
In the registry since
2011
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

10 Park Row W Apt 635
Providence, RI 02903-1182
Phone: (781) 775-7735
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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 120187 (MA)
Clinical Social Worker Taxonomy 1041C0700X · Licence ISW03109 (RI)

Record details

NPI number1073891834
Entity typeIndividual (Type 1)
GenderMale
Credentials LICSW
Sole proprietorNo
NPI enumeratedJuly 28, 2011
Last updated in NPPESApril 10, 2025
Certification dateApril 10, 2025

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Group practice Gateway Healthcare Inc — 64 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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