Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1386785830 Deactivated / Inactive NPI Male Practitioner

Gardner Wiley Munro , LICSW

Counselor • Woonsocket, RI

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Gardner Munro has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date February 09, 2007
NPI Deactivation Date March 22, 2018
Total Practice Duration ~11 Years of Practice (2007 – 2018)

Professional Overview & Biography Verified Profile Summary

Gardner Munro, LICSW was a registered Counselor practicing in Woonsocket, RI. Throughout an active medical career spanning 11 years, Gardner Munro provided care at the practice location at 245 MAIN ST until profile deactivation on 2018-03-22.

Practice Location & Contact Primary Location

Practice Address

245 Main St

Woonsocket, RI 02895

Telephone 4017660900
Fax 4017674099
Associated Practice Facility / Clinic
🏢 Community Care Alliance Facility NPI 1043347602

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor in Woonsocket, RI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 13.0 Yrs
State Avg: 20.7 Yrs
Regional Practice Density
33 Specialists

Practicing in Woonsocket, RI (429 Statewide)

Telehealth Adoption Rate
0.0% 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

Counselor Primary Specialty

NUCC Taxonomy Code: 101Y00000X

State License RI ISW01023

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

Practice Associates & Co-Workers

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

40 Associated Practitioners
Yimei Cheng

Interpreter

NPI 1033398128
Ana Antunes

Interpreter

NPI 1043484835
Mary Lauzon , MA

Counselor - Addiction (Substance Use Disorder)

NPI 1043495468

Master of Arts

Kayla Durand

Case Manager/Care Coordinator

NPI 1043690829
Thepdara Boriboun , OTRL

Occupational Therapist

NPI 1073745998

Occupational Therapist Registered & Licensed

Melanie Reyes

Interpreter

NPI 1144452061

Career & Practice History Timeline

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

7 Historical Events
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NPI Profile Deactivated March 22, 2018

Record deactivated on March 22, 2018

NPI Profile Active October 01, 2010

NPI status registered as active in NPPES database

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Updated Practice Location October 01, 2010

Registered at 245 MAIN ST, WOONSOCKET, RI 02895 (Tel: 4017660900)

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Updated Business Mailing Address October 01, 2010

Registered at 36 CIRCUIT DRIVE, CRANSTON, RI 02905 (Tel: 4017859623)

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Provider Name / Credentials Updated October 01, 2010

Recorded as GARDNER MUNRO, LICSW

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Medical Taxonomy / Specialty Registered (Primary Specialty) October 01, 2010

Counselor (License #ISW01023 in RI)

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Initial NPI Registration & Enumeration February 09, 2007

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: 1386785830
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 09, 2007
Last Update: October 01, 2010
Deactivation Date: March 22, 2018

Mailing Address

36 Circuit Drive

Cranston, RI 02905

Phone: 4017859623

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.