Individual provider Active NPI

Sarah E. Ouellette, LICSW

  • Clinical Social Worker
  • Providence, RI
National Provider Identifier
1225468267
Registry record updated Jul 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
ISW02678 Issued in RI
Practice address
173 Waterman St
Providence, RI 02906-3919
Phone
(401) 400-2499
NPI assigned
Nov 12, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 29, 2021

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 ISW02678 RI Primary

Addresses

Primary practice location

173 Waterman St
Providence, RI 02906-3919

Mailing address

1500 Pontiac Ave
Cranston, RI 02920-4486
Phone (401) 371-0223

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
I20180327002597 RI Practitioner - Clinical Social Worker 4385905819 Reassigns benefits to 4 organizations
Practice locations: Cranston, RI

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2011
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

173 Waterman St
Providence, RI 02906-3919
Phone (401) 400-2499

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
ISW02678RIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Lifespan Physician Group, Inc. CurrentSince Feb 17, 2018 Accepting new patients
Emma Pendleton Bradley Hospital CurrentSince Feb 3, 2023 Accepting new patients
Lifespan Physician Group, Inc. Clinical CurrentSince Feb 17, 2018 Accepting new patients
The Miriam Hospital CurrentSince Dec 11, 2017 Accepting new patients
Emma Pendleton Bradley Hospital Current Accepting new patients
The Miriam Hospital Clinical CurrentSince Dec 11, 2017 Accepting new patients
Sarah Ouellette Psychotherapy, LLC CurrentSince Jun 1, 2021 Accepting new patients
Nutritionally Sound, LLC Past Accepting new patients
Anesthesiology Inc PastSince Jun 1, 2021 Accepting new patients

Locations

1500 Pontiac Ave
Cranston, RI 02920
Phone (401) 529-1819

164 Summit Ave
Providence, RI 02906
Phone (401) 793-2104

593 Eddy St
Providence, RI 02903

1011 Veterans Memorial Pkwy
Riverside, RI 02915
Phone (401) 432-1000

Organizations & group practices 9

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": "1384214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627516800000",
    "number": "1225468267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 PONTIAC AVE",
            "city": "CRANSTON",
            "state": "RI",
            "postal_code": "029204486",
            "telephone_number": "401-371-0223",
            "fax_number": "401-464-4071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "173 WATERMAN ST",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029063919",
            "telephone_number": "401-400-2499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OUELLETTE",
        "first_name": "SARAH",
        "middle_name": "E.",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-11-12",
        "last_updated": "2021-07-29",
        "certification_date": "2021-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "RI",
            "license": "ISW02678",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Providence, RI

Sources for this page

Verify at the official NPI Registry.