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SHALISSA ROSE COUTOULAKIS LCSW
NPI 1164058202
Social Worker - Clinical in Pawtucket, RI

Active since March 20, 2020
304 BEVERAGE HILL AVE, PAWTUCKET, RI 02861(401) 484-3012 Get Directions Write a Review

NPPES record last updated: March 20, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Shalissa Rose Coutoulakis Lcsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SHALISSA ROSE COUTOULAKIS LCSW (NPI 1164058202) is an individual clinical provider in Pawtucket, Rhode Island, licensed in Rhode Island (CSW02399) and active in the NPI registry since March 2020.

NPPES Registry Identity

NPI1164058202
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameSHALISSA ROSE COUTOULAKISCredential: LCSW
Location Address304 BEVERAGE HILL AVEPawtucket, RI 02861-4462
Mailing Address304 Beverage Hill AvePawtucket, RI 02861-4462
Phone(401) 484-3012
Sole ProprietorYes
Enumeration DateMarch 20, 2020
NPPES CertifiedMarch 20, 2020
✔ NPI 1164058202 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in RI · CSW02399
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
304 BEVERAGE HILL AVE, Pawtucket, RI 02861
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shalissa Coutoulakis's NPI number?

The NPI number for Shalissa Coutoulakis is 1164058202. It was assigned to this individual provider in the NPPES registry on March 20, 2020.

Where is Shalissa Coutoulakis located?

Shalissa Coutoulakis practices at 304 Beverage Hill Ave, Pawtucket, RI 02861. The listed phone number is (401) 484-3012.

What is Shalissa Coutoulakis's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

When was this NPI record last updated?

The NPPES record for Shalissa Coutoulakis was last updated on March 20, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.