Active NPIIndividual provider

Autumn M Gaudreau

Social Worker, Clinical in Johnston, Rhode Island

NPI Number1669211512
Practice location
1443 Hartford Avenue, Johnston, RI 02919
Fax
—
Last updated
March 27, 2025

Autumn Marie Gaudreau is a Social Worker, Clinical based in Johnston, RI. Autumn Marie Gaudreau practices in Johnston, RI. The NPI Number for Autumn Marie Gaudreau is 1669211512 and holds a License No. CSW03814 (RI). The current practice location address for Autumn Marie Gaudreau is 1443 Hartford Avenue, Johnston, RI 02919 and can be reached out via phone at 401-273-8100.

Provider Profile Details

NPI Number
1669211512
Provider Name
Autumn Marie Gaudreau
Provider Entity Type
Individual
Gender
Female
Address
1443 Hartford Avenue, Johnston, RI 02919
Phone Number
401-273-8100
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
No
Provider Enumeration Date
May 21, 2024
Last Update Date
March 27, 2025
Certification Date
March 27, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
1443 Hartford Avenue
Johnston, RI 02919
Zip
02919
Phone Number
401-273-8100
Johnston, RI 02919Get directions →

Provider Business Mailing Address Details

Address
117 Ellenfield Street
Ste. 101
Providence, RI 02905
City
Providence
State
RI
Zip
02905

License Information

License Number
CSW03814
License State
RI
Taxonomy
Social Worker, Clinical · 1041C0700X · 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 Autumn M Gaudreau?

The NPI number of Autumn M Gaudreau is 1669211512. It was assigned on May 21, 2024 and is currently active in the NPPES registry.

What is the specialty of Autumn M Gaudreau?

Autumn M Gaudreau is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in RI under license number CSW03814.

Where does Autumn M Gaudreau practice?

The practice location is 1443 Hartford Avenue, Johnston, RI 02919. The office can be reached at 401-273-8100 (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 1669211512 directly on the NPPES registry website.

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