Active NPI
Susan Estrela
- Social Worker
- Pawtucket, RI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- Practice address
- 290 Kenyon Ave
Pawtucket, RI 02861-1112 - Phone
- (401) 632-6434
- NPI assigned
- Sep 9, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | Primary | ||
| Mental Health Counselor | 101YM0800X | ISW03623 | RI | |
| Mental Health Counselor | 101YM0800X | LICSW125690 | MA |
Addresses
Primary practice location
290 Kenyon Ave
Pawtucket, RI 02861-1112
Mailing address
PO Box 1595
Middletown, CT 06457-8095
Phone (607) 886-4048
Other practice location 1
222 Jefferson Blvd Ste 200
Warwick, RI 02888-3855
Phone (860) 788-6404
Other practice location 2
84 State St
Boston, MA 02109-2202
Phone (860) 788-6404
Other practice location 3
398 Bellevue Ave
Newport, RI 02840-6955
Phone (732) 712-2215
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in RI, MA, SC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
17 Adelphi Ave
Providence, RI 02906-4119
Phone (718) 298-4375
222 Jefferson Blvd
Suite 200
Warwick, RI 02888-3855
Phone (860) 788-6404
84 State St
Boston, MA 02109-2202
Phone (860) 788-6404
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LICSW125690 | MA | MD | Mental Health Counselor |
| ISW03623 | RI | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Meditelecare of Rhode Island LLC | Multi-Specialty | Current | Accepting new patients |
| Meditelecare of Massachusetts, PLLC | Multi-Specialty | Current | Accepting new patients |
| Supportive Care I of Rhode Island PC | Multi-Specialty | Current | Accepting new patients |
| Supportive Behavioral Care of Ma LLC | Multi-Specialty | Current | Accepting new patients |
| Facility Care Clinical Services PLLC | Multi-Specialty | Current | Accepting new patients |
| Espiga Health | Multi-Specialty | Past | Accepting new patients |
Locations
44 School St
Rm 325
Boston, MA 02108
Phone (508) 831-8558
84 State St
Boston, MA 02109
Phone (855) 777-2244
27 Randolph Rd
Howell, NJ 07731
Phone (972) 677-7951
222 Jefferson Blvd
Ste 200
Warwick, RI 02888
Phone (800) 221-5140
Organizations & group practices 7
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Clinical Psychologist
- Providence, RI
- NPI 1912666454
Multi-Specialty
-
- Clinical Psychologist
- Needham, MA
- NPI 1780115519
Multi-Specialty
-
- Clinical Social Worker
- Raleigh, NC
- NPI 1508796376
Multi-Specialty
-
- Clinical Psychologist
- Mt Pleasant, SC
- NPI 1417681412
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Coral Gables, FL
- NPI 1831507458
Multi-Specialty
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1567987200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1753228800000",
"number": "1013566397",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1595",
"city": "MIDDLETOWN",
"state": "CT",
"postal_code": "064578095",
"telephone_number": "607-886-4048"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "290 KENYON AVE",
"city": "PAWTUCKET",
"state": "RI",
"postal_code": "028611112",
"telephone_number": "401-632-6434"
}
],
"practiceLocations": [
{
"address_1": "222 Jefferson Blvd Ste 200",
"address_purpose": "LOCATION",
"city": "Warwick",
"state": "RI",
"postal_code": "028883855",
"country_code": "US",
"telephone_number": "860-788-6404",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "84 State St",
"address_purpose": "LOCATION",
"city": "Boston",
"state": "MA",
"postal_code": "021092202",
"country_code": "US",
"telephone_number": "860-788-6404",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "398 Bellevue Ave",
"address_purpose": "LOCATION",
"city": "Newport",
"state": "RI",
"postal_code": "028406955",
"country_code": "US",
"telephone_number": "732-712-2215",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ESTRELA",
"first_name": "SUSAN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-09-09",
"last_updated": "2025-07-23",
"certification_date": "2025-07-23",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Social Worker",
"state": null,
"license": null,
"primary": true
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "RI",
"license": "ISW03623",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "MA",
"license": "LICSW125690",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pawtucket, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.