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THERESA A BEAUDREAU LICSW
NPI 1427180397
Social Worker - Clinical in Providence, RI

Active since March 09, 2007
291 WATERMAN ST, PROVIDENCE, RI 02906(401) 274-9231 Get Directions Write a Review

NPPES record last updated: May 16, 2011. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Theresa A Beaudreau Licsw NPPES

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

THERESA A BEAUDREAU LICSW (NPI 1427180397) is an individual clinical provider in Providence, Rhode Island, licensed in Rhode Island (00502) and active in the NPI registry since March 2007.

NPPES Registry Identity

NPI1427180397
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameTHERESA A BEAUDREAUCredential: LICSW
Location Address291 WATERMAN STProvidence, RI 02906-5130
Mailing AddressPo Box 8879Cranston, RI 02920-0879 · (401) 572-3120 · Fax (401) 572-3351
Phone(401) 274-9231
Sole ProprietorYes
Enumeration DateMarch 9, 2007
Last NPPES UpdateMay 16, 2011
✔ NPI 1427180397 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 · 00502
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.
291 WATERMAN ST, Providence, RI 02906
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Other Identifiers 7

Other1036990Neighborhood Health
Medicare PIN809002785RI
Other408805RI · Bluechip
Other2785RI · Bluecross Blueshield
Other6254399United Health
MedicaidTB63105RI
Other298567000Magellan

Other Providers at the Same Location NPPES 7

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

SARA WILTON LMHC-A
Counselor (Mental Health)
291 WATERMAN ST
PROVIDENCE, RI 02906
Providence County (401) 563-7103
SARAH D O'BRIEN LICSW, RPT-S
Social Worker (Clinical)
291 WATERMAN ST
PROVIDENCE, RI 02906
Providence County (401) 374-2069
DR. MEGHAN VICTORIA SCHAFFER D.C
Chiropractor
291 WATERMAN ST
PROVIDENCE, RI 02906
Providence County (401) 223-0111
MRS. JENNIFER LYNN FORTIER MSW
Social Worker (Clinical)
291 WATERMAN ST
PROVIDENCE, RI 02906
Providence County (401) 241-0659
MRS. REBECCA M. MARCUS LICSW
Social Worker (Clinical)
291 WATERMAN ST
PROVIDENCE, RI 02906
Providence County (401) 533-4556
MIKA LORIEN MORGAN MACINNIS PH.D.
Psychologist
291 WATERMAN ST
PROVIDENCE, RI 02906
Providence County (401) 338-8818
BAYBERRY PSYCHOLOGY & CONSULTING LLC
Clinic/Center (Mental Health (Including Community Mental Health Center))
291 WATERMAN ST
PROVIDENCE, RI 02906
Providence County (401) 426-4239

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 Theresa Beaudreau's NPI number?

The NPI number for Theresa Beaudreau is 1427180397. It was assigned to this individual provider in the NPPES registry on March 9, 2007.

Where is Theresa Beaudreau located?

Theresa Beaudreau practices at 291 Waterman St, Providence, RI 02906. The listed phone number is (401) 274-9231.

What is Theresa Beaudreau'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 Theresa Beaudreau was last updated on May 16, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.