Active NPIIndividual providerSole proprietor

Lori-Ann Tetreault, BSW, LCDP

Counselor, Addiction (Substance Use Disorder) in Pawtucket, Rhode Island

NPI Number1164887444
Practice location
15 Woodhaven RD, Pawtucket, RI 02861-3530
Fax
—
Last updated
December 30, 2015

Lori-Ann Tetreault is a Counselor, Addiction (Substance Use Disorder) based in Pawtucket, RI. Lori-Ann Tetreault practices in Pawtucket, RI and has the professional credentials of BSW, LCDP. The NPI Number for Lori-Ann Tetreault is 1164887444 and holds a License No. CDC00626 (RI). The current practice location address for Lori-Ann Tetreault is 15 Woodhaven RD, Pawtucket, RI 02861-3530 and can be reached out via phone at 401-365-7509.

Provider Profile Details

NPI Number
1164887444
Provider Name
Lori-Ann Tetreault
Credential
BSW, LCDP
Provider Entity Type
Individual
Gender
Female
Address
15 Woodhaven RD, Pawtucket, RI 02861-3530
Phone Number
401-365-7509
Primary Taxonomy
Counselor, Addiction (Substance Use Disorder) · 101YA0400X
Sole Proprietor
Yes
Provider Enumeration Date
December 30, 2015
Last Update Date
December 30, 2015
NPI Status
Active

Provider Business Practice Location Address Details

Address
15 Woodhaven RD
Pawtucket, RI 02861-3530
Zip
02861-3530
Phone Number
401-365-7509
Pawtucket, RI 02861Get directions →

Provider Business Mailing Address Details

Address
15 Woodhaven RD
Pawtucket, RI 02861-3530
City
Pawtucket
State
RI
Zip
02861-3530
Phone Number
401-365-7509

License Information

License Number
CDC00626
License State
RI
Taxonomy
Counselor, Addiction (Substance Use Disorder) · 101YA0400X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Lori-Ann Tetreault, BSW, LCDP?

The NPI number of Lori-Ann Tetreault, BSW, LCDP is 1164887444. It was assigned on December 30, 2015 and is currently active in the NPPES registry.

What is the specialty of Lori-Ann Tetreault, BSW, LCDP?

Lori-Ann Tetreault, BSW, LCDP is registered under the primary taxonomy Counselor, Addiction (Substance Use Disorder) (code 101YA0400X), licensed in RI under license number CDC00626.

Where does Lori-Ann Tetreault, BSW, LCDP practice?

The practice location is 15 Woodhaven RD, Pawtucket, RI 02861-3530. The office can be reached at 401-365-7509 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1164887444 directly on the NPPES registry website.

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