Amy Audet, LCSW, LCDP

Individual provider Active NPI Social Worker · Cranston, RI

NPI 1538599345 · NPPES record last updated Feb 4, 2015

Key facts

NPI
1538599345
Entity type
Individual (NPI type 1)
Primary specialty
Social Worker 104100000X
License
CSW01624 (RI)
Practice address
39 Howard Ave
Cranston, RI 02920-3001
Phone
(401) 462-3469
NPI assigned
Nov 14, 2013
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.

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
CDP00600RIMDAddiction (Substance Use Disorder) Counselor
CSW01624RIMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
The Inner You Past
since Jun 2, 2016
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X CSW01624 RI Yes
Addiction (Substance Use Disorder) Counselor 101YA0400X CDP00600 RI

Addresses

Primary practice location

39 Howard Ave
Cranston, RI 02920-3001

Mailing address

1881 Smith St
North Providence, RI 02911-1903

Other providers in Cranston, RI

All providers in Cranston, RI · Social Worker in Rhode Island

Sources for this page

Verify at the official NPI Registry.