SAMUEL REILLY DUBOIS LICSW
NPI 1891437893
Social Worker - Clinical in Providence, RI

Q: What is Samuel Dubois's NPI number?

The NPI number for Samuel Dubois is 1891437893. It was assigned to this individual provider in the NPPES registry on April 11, 2022.

Q: What is Samuel Dubois's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Samuel Dubois was last updated on May 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since April 11, 2022PECOS Enrolled

1 RICHMOND SQ STE 300E, PROVIDENCE, RI 02906(401) 785-0040 Get Directions Write a Review

NPPES record last updated: May 13, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 13, 2026, Jun 12, 2023, Apr 11, 2022 (3 updates tracked since 2022).

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About Samuel Reilly Dubois Licsw NPPES

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

SAMUEL REILLY DUBOIS LICSW (NPI 1891437893) is an individual clinical provider in Providence, Rhode Island, licensed in Rhode Island (ISW04823) and active in the NPI registry since April 2022. He is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1891437893

Entity TypeIndividualMale

Primary Taxonomy1041C0700X

Provider Legal NameSAMUEL REILLY DUBOISCredential: LICSW

Location Address1 RICHMOND SQ STE 300EProvidence, RI 02906-5160

Mailing Address1 Richmond Sq Ste 300eProvidence, RI 02906-5160 · (401) 349-3131

Phone(401) 785-0040

Sole ProprietorNo

Medical School CMSOtherGraduated 2021

Enumeration DateApril 11, 2022

Last NPPES UpdateMay 13, 20263 updates tracked since enumeration

NPPES CertifiedMay 13, 2026

✔ NPI 1891437893 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code1041C0700X

Licenses✔ Licensed in RI · ISW04823✔ Licensed in RI · CSW03213

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.

Also ListedSocial WorkerTaxonomy 104100000X · License 000227826 (MA)

1 RICHMOND SQ STE 300E, Providence, RI 02906

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Samuel Reilly Dubois Licsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2365912797

PECOS Enrollment IDI20260527003143

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 02906 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 12

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

DR. LAWRENCE MING-AN CHAN PSYD

Psychologist (Clinical)