Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1154372191 Individual Practitioner Female Practitioner

Michelle A Mathiesen , LICSW

Social Worker - Clinical • Warwick, RI

Professional Overview & Biography Verified Profile Summary

Michelle Mathiesen, LICSW is a registered healthcare professional specializing in Social Worker - Clinical in Warwick, RI. Practice services are available at 160 DRAPER AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

160 Draper Ave

Warwick, RI 028895047

Telephone 4017325200
Fax 4017372302
Associated Practice Facility / Clinic
🏢 Child Inc. Facility NPI 1760547582

Specialty Benchmarks & Practice Insights

Comparative analytics for Social Worker - Clinical in Warwick, RI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 19.2 Yrs
State Avg: 19.9 Yrs
Regional Practice Density
260 Specialists

Practicing in Warwick, RI (2501 Statewide)

Telehealth Adoption Rate
7.7% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2026-03-30
Social Worker - Clinical Primary Specialty

NUCC Taxonomy Code: 1041C0700X

State License RI ISW01689

A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
MM54608 (RI)
Medicaid State Provider ID
MM59098 (RI)
Commercial Insurance / Payer ID Neighborhood Health Plan
1032430 (RI)
Commercial Insurance / Payer ID Blue Cross/blue Shield
29590-9 (RI)
Commercial Insurance / Payer ID Blue Chip
412646 (RI)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

5 Associated Practitioners
NPI 1114177672

Master of Arts

Timothy Long , LICSW

Social Worker - Clinical

NPI 1114979986

Licensed Independent Clinical Social Worker

Rose Randall-Hicks , LICSW

Social Worker - Clinical

NPI 1144357609

Licensed Independent Clinical Social Worker

Paul Taraborelli , MSW, LICSW

Social Worker - Clinical

NPI 1194777862

Master of Social Work, Licensed Independent Clinical Social Worker

Ashley Laing

Social Worker - Clinical

NPI 1619388394

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
📍
Updated Practice Location March 30, 2026

Registered at 160 DRAPER AVE, WARWICK, RI 028895047 (Tel: 4017325200)

NPI Profile Active July 09, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 09, 2007

Registered at 2343 DIAMOND HILL RD, CUMBERLAND, RI 028644703 (Tel: 4013335999)

📍
Updated Business Mailing Address July 09, 2007

Registered at 21 DUKE ST, EAST GREENWICH, RI 028183819 (Tel: 4018853108)

👤
Provider Name / Credentials Updated July 09, 2007

Recorded as MICHELLE MATHIESEN, LICSW

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 09, 2007

Social Worker (License #ISW01689 in RI)

🟢
Initial NPI Registration & Enumeration May 15, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1154372191
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 15, 2006
Last Update: March 30, 2026
Sole Proprietor: Yes

Mailing Address

21 Duke St

East Greenwich, RI 028183819

Phone: 4018853108

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.