Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MALCOLM ROSE SUSHCHYK, LICSW 00012367
ActiveMALCOLM ROSE SUSHCHYK, LICSW 00012367 is a Clinical Social Worker healthcare provider located in PROVIDENCE, Rhode Island. NPI 1215343231 is currently active in the NPPES registry. Verify at CMS.
Clinical Social Worker · PROVIDENCE, RI
Registration Details
- NPI Number
- 1215343231
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 10, 2014 (12.085681483668 yrs)
- Last Updated
- Oct 28, 2025
- Licenses
-
99467 (CA)ISW03525 (RI)123679 (MA)
Practice Information
- Address
-
380 BROADWAYPROVIDENCE, RI, 029091416Browse RI providers · Browse ZIP 02909
- Phone
- 6505166672
- Primary Specialty
-
Clinical Social Worker
1041C0700X
- Additional Specialty
- Clinical Social Worker
- Additional Specialty
- Clinical Social Worker
Other Clinical Social Worker Providers in PROVIDENCE, RI
| Name | Credential | NPI |
|---|---|---|
| MS. MARY A BARROS | LICSW | 1669472171 |
| THOMAS F ALLEN | MSW,LICSW | 1689668709 |
| MR. ROBERT JOSEPH ANDREWS | MSW | 1134103260 |
| MR. WILLIAM A CHASE, III | LICSW | 1780660092 |
| ELISABETH KORNBLEE | LICSW | 1952388068 |
| MS. KATHRYN B EDEN | MSW LICSW | 1649243981 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.