Joelle Anne Therese Depeyrot, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

ISW02206 Issued in RI

Practice address

205 Waterman St Ste 100
Providence, RI 02906-4313

Phone

(401) 753-4816

NPI assigned

Mar 12, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Jun 29, 2026 through Jun 29, 2028

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Healing Source LLC

  • Clinical Social Worker
  • Providence, RI
  • NPI 1982494753
  NPD Authorized official
• Day One

  • Clinical Social Worker
  • Providence, RI
  • NPI 1164633038
  NPD (past)
• The Providence Center

  • Community/Behavioral Health Agency
  • Providence, RI
  • NPI 1134977598
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1173657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567641600000",
    "number": "1194857201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 WATERMAN ST STE 100",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029064313",
            "telephone_number": "401-753-4816"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 WATERMAN ST STE 100",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029064313",
            "telephone_number": "401-753-4816"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "520 Hope St",
            "address_purpose": "LOCATION",
            "city": "Providence",
            "state": "RI",
            "postal_code": "029062532",
            "country_code": "US",
            "telephone_number": "401-276-4000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "100 Medway St",
            "address_purpose": "LOCATION",
            "city": "Providence",
            "state": "RI",
            "postal_code": "029064402",
            "country_code": "US",
            "telephone_number": "401-421-4100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DEPEYROT",
        "first_name": "JOELLE",
        "middle_name": "ANNE THERESE",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-12",
        "last_updated": "2019-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCS23881",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "116672",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "RI",
            "license": "ISW02206",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "12334182",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Monique E Depaepe, MD
• Department of Human Services
• Department of Veterans Affairs
• Jillian Depaul, PH.D.
• Thomas G Depetrillo, DMD
• Marissa Lynn Depietro, FNP
• Rachel M Depner, PHD
• Daniel Depolo, MD
• Judith D. Depue, EDD
• Kelly Elizabeth Deragon, PSYD

• Clinical Social Worker in Providence, RI
• Providers in Providence, RI by specialty
• Clinical Social Worker in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.