MARIANELA DOUGAL (LICSW) – Clinical Social Worker, NPI 1427247444

MARIANELA DOUGAL (LICSW) is a healthcare provider. based in Providence, Rhode Island. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials LICSW. They hold a License No. ISW02629 (RI). The NPI Number for MARIANELA DOUGAL (LICSW) is 1427247444

Main info

Female
26 Years Of Experience
Accepts Medicare Assignment
Name
MARIANELA DOUGAL (LICSW)
NPI
1427247444
Phone
(401) 369-9224
Address
1075 SMITH ST STE 2
Enumeration Date
16 October 2007
Last Update Date
15 November 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4013699224
Graduation Year
2000 (26 years ago)
PAC ID
5496154122
Group Practice PAC ID
3274798236
Professional Enrollment ID
I20210528000591
Address ID
RI029082700PR1075XSTXX302

Contacts

Secure Messaging
mdougal59661@HCNetwork.direct-ci.com
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience60
Completeness85
Years active:18State licenses:1Other namesUpdated within 12 months

723 CLINICAL SOCIAL WORKER in RI

Provider Addresses for MARIANELA DOUGAL (LICSW)

  • 1075 SMITH ST STE 2

    PROVIDENCE, RI 029082700

    Phone: (401) 369-9224

    Fax: (401) 369-9275

    Type: Location

  • 101, Ellenfield Street, Providence, Providence County, Rhode Island, 02905, United States

    PROVIDENCE, RI 029054541

    Phone: (401) 444-6779

    Fax: (401) 444-6912

    Type: Mailing

  • 105, Bacon Street, Pawtucket, Providence County, Rhode Island, 02860, United States

    PAWTUCKET, RI 028605542

    Phone: (401) 722-3560

    Fax: (401) 722-5280

    Type: Location

  • 375 ALLENS AVE

    PROVIDENCE, RI 029055010

    Phone: (401) 780-2511

    Fax: (401) 780-2565

    Type: Mailing

  • 40 CANDACE ST

    PROVIDENCE, RI 029083747

    Phone: (401) 444-0550

    Fax: (401) 444-0425

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2021-05-28

PECOS data refreshed: 2026-06-15

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20210528000591IClinical Social WorkerRITBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 02908)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3274798236View full group profile
NameSpecialtyState
Clinical Social WorkerRI
-RI
Clinical PsychologistRI
-RI
Nurse PractitionerRI
Clinical Social WorkerRI
Clinical PsychologistWA
Clinical Social WorkerRI
Clinical PsychologistRI
Clinical PsychologistRI

Reviews

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Frequently asked questions

What federal number belongs to MARIANELA DOUGAL (LICSW)?
The federal identifier for MARIANELA DOUGAL (LICSW) is NPI 1427247444.
Is MARIANELA DOUGAL (LICSW) active in the national directory?
MARIANELA DOUGAL (LICSW)'s public NPI profile is in an active state.
Does MARIANELA DOUGAL (LICSW) list a primary specialty?
If you are matching referrals, note Clinical Social Worker for MARIANELA DOUGAL (LICSW). Clinical services aligned with this taxonomy classification.
What location shows for MARIANELA DOUGAL (LICSW)?
We surface Providence, Rhode Island for MARIANELA DOUGAL (LICSW) based on available NPPES addresses.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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