Edward B. Rush, LICSW
NPI 1699911750ActiveIndividual· Social Worker, Clinical· Riverside, RI
Social Worker, Clinical (LICSW) with East Bay Community Action Program, practicing in Riverside, Rhode Island. Enrolled in Medicare as practitioner - clinical social worker.
Overview
| NPI | 1699911750 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | LICSW |
| Sole proprietor | No |
| NPI issued | Dec 19, 2008 |
| Last updated in NPPES | Feb 13, 2012 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Social Worker, Clinical Primary | 1041C0700X | ISW02158 | RI |
| Social Worker | 104100000X | CSW00528 | RI |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Clinical Social Worker (RI) |
|---|
Education and affiliations
| Graduation year | 1999 |
|---|---|
| Medicare specialty | Clinical Social Worker |
Medical group
- East Bay Community Action ProgramRiverside, RI · 36 clinicians
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