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AUTUMN MARIE GAUDREAU
NPI 1669211512
Social Worker - Clinical in Johnston, RI

Active since May 21, 2024PECOS Enrolled
1443 HARTFORD AVENUE, JOHNSTON, RI 02919(401) 273-8100 Get Directions Write a Review

NPPES record last updated: March 27, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Autumn Marie Gaudreau NPPES

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

AUTUMN MARIE GAUDREAU (NPI 1669211512) is an individual clinical provider in Johnston, Rhode Island, licensed in Rhode Island (CSW03814) and active in the NPI registry since May 2024. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1669211512
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameAUTUMN MARIE GAUDREAU
Location Address1443 HARTFORD AVENUEJohnston, RI 02919
Mailing Address117 Ellenfield Street, Ste. 101Providence, RI 02905
Phone(401) 273-8100
Sole ProprietorNo
Enumeration DateMay 21, 2024
Last NPPES UpdateMarch 27, 2025
NPPES CertifiedMarch 27, 2025
✔ NPI 1669211512 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 · CSW03814
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.
1443 HARTFORD AVENUE, Johnston, RI 02919
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Harvard Pilgrim Health Care.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Autumn Marie Gaudreau is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02919 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $58.57 – $177.03
Typical copayment $0.00 (range $14.64 – $44.25)
Most-billed visit code NA
Established Patient
$72.93 typical visit price
range $18.92 – $144.38
Typical copayment $18.23 (range $4.73 – $36.09)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

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

GINA MULLEN LICSW
Social Worker (Clinical)
1443 HARTFORD AVENUE
JOHNSTON, RI 02919
Providence County (401) 273-8100

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 Autumn Gaudreau's NPI number?

The NPI number for Autumn Gaudreau is 1669211512. It was assigned to this individual provider in the NPPES registry on May 21, 2024.

Where is Autumn Gaudreau located?

Autumn Gaudreau practices at 1443 Hartford Avenue, Johnston, RI 02919. The listed phone number is (401) 273-8100.

What is Autumn Gaudreau's specialty?

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

Is Autumn Gaudreau enrolled in Medicare?

Yes. Autumn Gaudreau is registered in the Medicare PECOS enrollment system.

What insurance does Autumn Gaudreau accept?

Health plans from Harvard Pilgrim Health Care list Autumn Gaudreau as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Autumn Gaudreau was last updated on March 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.