SearchRhode Island1041C0700X

Malcolm Sushchyk, LICSW 00012367

NPI 1215343231 · on the registry since 2014

Practice

Address
380 Broadway
Providence, RI 02909
Phone
(650) 516-6672
Clinicians at this address
3

Registry record

Primary taxonomy
1041C0700X
1041C0700X
Also registered as
1041C0700X
1041C0700X
Licence states on file
CA, RI, MA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2025-10-28

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Rhode Island