Individual provider Active NPI

Susan Estrela

  • Social Worker
  • Pawtucket, RI
National Provider Identifier
1013566397
Registry record updated Jul 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
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

Updated by the provider on Jul 23, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 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, SC3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20241126000749 RI Practitioner - Clinical Social Worker 5092240127 Reassigns benefits to 2 organizations
I20241206000320 MA Practitioner - Clinical Social Worker 5092240127 Reassigns benefits to 2 organizations
I20260512002273 SC Practitioner - Clinical Social Worker 5092240127 Reassigns benefits to 1 organization

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
Supportive Care I of Rhode Island PCGroup PAC ID 1951793546, 53 clinicians
Meditelecare of Rhode Island LLCGroup PAC ID 4385053131, 7 clinicians
Meditelecare of Massachusetts, PLLCGroup PAC ID 8921417064, 14 clinicians

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

LicenseStateTypeSpecialty
LICSW125690MAMDMental Health Counselor
ISW03623RIMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Meditelecare of Rhode Island LLC Multi-Specialty CurrentSince Nov 1, 2024 Accepting new patients
Meditelecare of Massachusetts, PLLC Multi-Specialty CurrentSince Nov 1, 2024 Accepting new patients
Supportive Care I of Rhode Island PC Multi-Specialty CurrentSince Jun 1, 2025 Accepting new patients
Supportive Behavioral Care of Ma LLC Multi-Specialty CurrentSince Jun 1, 2025 Accepting new patients
Facility Care Clinical Services PLLC Multi-Specialty Current Accepting new patients
Espiga Health Multi-Specialty PastSince Sep 1, 2019 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.

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

Verify at the official NPI Registry.