Individual provider Active NPI

Sandrine Guilherme Fujah, MSW, LICSW

  • Clinical Social Worker
  • Providence, RI
National Provider Identifier
1053859264
Registry record updated Jan 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
ISW02963 Issued in RI
Practice address
530 N Main St
Providence, RI 02904-5762
Phone
(401) 276-6303
NPI assigned
Feb 8, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X ISW02963 RI Primary

Addresses

Primary practice location

530 N Main St
Providence, RI 02904-5762

Mailing address

528 N Main St
Providence, RI 02904-5757
Phone (401) 276-6303

Other practice location 1

355 Prairie Ave
Providence, RI 02905-1928
Phone (401) 415-8844

Other practice location 2

33 Rachela St
Johnston, RI 02919-6249
Phone (401) 414-4781

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in RI
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 1

Enrollment IDStateProvider typePAC IDDetails
I20170421001340 RI Practitioner - Clinical Social Worker 4981980265 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Integrative Healing Center, LLC Clinical CurrentSince May 22, 2022 Accepting new patients
Empowerment Counseling and Psychotherapy Center CurrentSince Oct 21, 2020 Accepting new patients
The Providence Center Inc Clinical CurrentSince Mar 20, 2017 Accepting new patients
Affinity Physicians LLC. Current Accepting new patients
The Providence Center Past Accepting new patients

Locations

280 Broadway
Ste 202
Providence, RI 02903
Phone (866) 754-4973

528 N Main St
Providence, RI 02904
Phone (401) 276-4020

530 N Main St
Providence, RI 02904
Phone (401) 274-2500

171 Service Ave
Warwick, RI 02886
Phone (401) 222-9157

Interoperability endpoints

  • Direct secure messaging: sguilherme15255@direct.carene.org

Organizations & group practices 5

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": "1486512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768348800000",
    "number": "1053859264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "528 N MAIN ST",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029045757",
            "telephone_number": "401-276-6303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "530 N MAIN ST",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029045762",
            "telephone_number": "401-276-6303"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "355 Prairie Ave",
            "address_purpose": "LOCATION",
            "city": "Providence",
            "state": "RI",
            "postal_code": "029051928",
            "country_code": "US",
            "telephone_number": "401-415-8844",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "33 Rachela St",
            "address_purpose": "LOCATION",
            "city": "Johnston",
            "state": "RI",
            "postal_code": "029196249",
            "country_code": "US",
            "telephone_number": "401-414-4781",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FUJAH",
        "first_name": "SANDRINE",
        "middle_name": "GUILHERME",
        "credential": "MSW, LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-02-08",
        "last_updated": "2026-01-14",
        "certification_date": "2026-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "RI",
            "license": "ISW02963",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Providence, RI

Sources for this page

Verify at the official NPI Registry.