Active NPIIndividual providerSole proprietor

George Otoole, LCDP

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

NPI Number1255241634
Practice location
610 Wampanoag Trl, Riverside, RI 02915-1504
Fax
—
Last updated
September 9, 2026

George Otoole is a Counselor, Addiction (Substance Use Disorder) based in Riverside, RI. George Otoole practices in Riverside, RI and has the professional credentials of LCDP. The NPI Number for George Otoole is 1255241634 and holds a License No. CDP01102 (RI). The current practice location address for George Otoole is 610 Wampanoag Trl, Riverside, RI 02915-1504 and can be reached out via phone at 401-500-6289.

Provider Profile Details

NPI Number
1255241634
Provider Name
George Otoole
Credential
LCDP
Provider Entity Type
Individual
Gender
Male
Address
610 Wampanoag Trl, Riverside, RI 02915-1504
Phone Number
401-500-6289
Primary Taxonomy
Counselor, Addiction (Substance Use Disorder) · 101YA0400X
Sole Proprietor
Yes
Provider Enumeration Date
September 9, 2026
Last Update Date
September 9, 2026
Certification Date
September 9, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
610 Wampanoag Trl
Riverside, RI 02915-1504
Zip
02915-1504
Phone Number
401-500-6289
Riverside, RI 02915Get directions →

Provider Business Mailing Address Details

Address
641 Post RD
Warwick, RI 02888-1834
City
Warwick
State
RI
Zip
02888-1834
Phone Number
401-431-9870

License Information

License Number
CDP01102
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 George Otoole, LCDP?

The NPI number of George Otoole, LCDP is 1255241634. It was assigned on September 9, 2026 and is currently active in the NPPES registry.

What is the specialty of George Otoole, LCDP?

George Otoole, LCDP is registered under the primary taxonomy Counselor, Addiction (Substance Use Disorder) (code 101YA0400X), licensed in RI under license number CDP01102.

Where does George Otoole, LCDP practice?

The practice location is 610 Wampanoag Trl, Riverside, RI 02915-1504. The office can be reached at 401-500-6289 (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 1255241634 directly on the NPPES registry website.

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