Brittany Victoria Dalpe Bouley, LICSW

Key facts

NPI

1124532437

Entity type

Individual (NPI type 1)

Primary specialty

Clinical Social Worker 1041C0700X

License

ISW04126 (RI)

Practice address

610 Manton Ave
Providence, RI 02909-5633

Phone

(401) 274-6310

NPI assigned

Nov 22, 2017

Sex

Female

Sole proprietor

No

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)

No

State licenses

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on May 28, 2025.

{
    "created_epoch": "1511308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748390400000",
    "number": "1124532437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "237 NEWLAND AVE",
            "city": "WOONSOCKET",
            "state": "RI",
            "postal_code": "028954852",
            "telephone_number": "401-633-2748"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 MANTON AVE",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029095633",
            "telephone_number": "401-274-6310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOULEY",
        "first_name": "BRITTANY",
        "middle_name": "VICTORIA DALPE",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-11-22",
        "last_updated": "2025-05-28",
        "certification_date": "2025-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "RI",
            "license": "ISW04126",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Providence, RI

• Haylie Botts, PA-C
• Jeremy M Boucher
• Robert Anthony Bouffard, PT
• Brianna Leigh Boulanger, MT
• Susannah Boulet, DO
• Kimberly Diane Boullard, OTR
• Erika Elizabeth Boulware, LCSW
• Cathy Bour, LICSW
• Claire Dorothy Bourgault, RN
• Siobhan Bourget, FNP

All providers in Providence, RI · Clinical Social Worker in Rhode Island