Colleen Mary Dusel, LICSW – Clinical Social Worker

Key facts

NPI: 1124776695
Entity type: Individual (NPI type 1)
Primary specialty: Clinical Social Worker 1041C0700X
License: ISW03504 (RI)
Practice address: 25 Blackstone Valley PL Ste 302
Lincoln, RI 02865-1163
Phone: (401) 475-0653
Fax: (401) 475-0729
NPI assigned: Mar 14, 2022
Sex: Female
Sole proprietor: No

Organizations & group practices 1

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.

Social Sparks Inc Clinical Social Worker · Lincoln, RI · NPI 1871960575

NPD CLINICAL

Medicare participation

Medicare fee-for-service enrollment: Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD): No

State licenses

License	State	Type	Specialty
ISW03504	RI	MD	Clinical Social Worker

Practice roles

Organization	Specialty	Status	New patients
Social Sparks Inc	Clinical	Current since Dec 14, 2022	Accepting new patients

Locations

1992 Old Louisquisset Pike
Lincoln, RI 02865
Phone 4014750653 ext. 0

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Clinical Social Worker	1041C0700X	ISW03504	RI	Yes

Addresses

Primary practice location

25 Blackstone Valley PL Ste 302
Lincoln, RI 02865-1163

Mailing address

25 Blackstone Valley PL Ste 302
Lincoln, RI 02865-1163
Phone (401) 475-0653

Other providers in Lincoln, RI

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

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 4, 2026. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.