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DAVID ROBERT GENDREAU BA, CADC, LCDP, CSEP
NPI 1235668807
Counselor - Addiction (Substance Use Disorder) in Providence, RI

Active since June 07, 2017
530 N MAIN ST, PROVIDENCE, RI 02904(401) 276-6114(401) 276-4124 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 21, 2022, Jun 7, 2017 (2 updates tracked since 2017).

About David Robert Gendreau Ba, Cadc, Lcdp, Csep NPPES

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

DAVID ROBERT GENDREAU BA, CADC, LCDP, CSEP (NPI 1235668807) is an individual addiction (substance use disorder) provider in Providence, Rhode Island, licensed in Rhode Island (CDP00668) and active in the NPI registry since June 2017.

NPPES Registry Identity

NPI1235668807
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameDAVID ROBERT GENDREAUCredential: BA, CADC, LCDP, CSEP
Location Address530 N MAIN STProvidence, RI 02904-5762
Mailing Address530 N Main StProvidence, RI 02904-5762 · (401) 276-6114 · Fax (401) 276-4124
Phone(401) 276-6114
Fax(401) 276-4124
Sole ProprietorNo
Enumeration DateJune 7, 2017
Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration
✔ NPI 1235668807 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in RI · CDP00668
530 N MAIN ST, Providence, RI 02904
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

OLIVIA MEUNIER MA
Counselor
530 N MAIN ST
PROVIDENCE, RI 02904
Providence County (401) 274-2500
MISS ASHLEY L ADDISON BA, LCDP, CCSP
Counselor (Addiction (Substance Use Disorder))
530 N MAIN ST
PROVIDENCE, RI 02904
Providence County (401) 276-4100
TASHANA K LEOTTO
Registered Nurse
530 N MAIN ST
PROVIDENCE, RI 02904
Providence County (401) 383-5129
MARTA M LOPEZ NAPOLEONI M.S., LMHC
Counselor (Mental Health)
530 N MAIN ST
PROVIDENCE, RI 02904
Providence County (401) 528-0110
MRS. MELISSA H POLANCO LMHC, LCDP
Counselor (Mental Health)
530 N MAIN ST
PROVIDENCE, RI 02904
Providence County (401) 528-0110
DAWN M WHITMORE RN
Registered Nurse
530 N MAIN ST
PROVIDENCE, RI 02904
Providence County (401) 274-2500
ALLYSON PELLEGRINO RN
Registered Nurse
530 N MAIN ST
PROVIDENCE, RI 02904
Providence County (401) 276-4100
MELISSA CRUZ
Counselor
530 N MAIN ST
PROVIDENCE, RI 02904
Providence County (401) 274-2500

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 David Gendreau's NPI number?

The NPI number for David Gendreau is 1235668807. It was assigned to this individual provider in the NPPES registry on June 7, 2017.

Where is David Gendreau located?

David Gendreau practices at 530 N Main St, Providence, RI 02904. The listed phone number is (401) 276-6114.

What is David Gendreau's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for David Gendreau was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.