Linda A. Boutilier, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

ISW00117 Issued in RI

Practice address

75 Sockanosset Cross Rd
Cranston, RI 02920-5558

Phone

(401) 944-3725

Fax

(401) 942-1999

NPI assigned

Jul 20, 2006

Last updated

Jul 21, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Lisa M Rocchio PHD & Associates

  • Counseling Psychologist
  • Johnston, RI
  • NPI 1699892687
  NPD (past)
• MG Therapy LLC

  • Mental Health Counselor
  • Cranston, RI
  • NPI 1093576530
  NPD (past)

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

{
    "created_epoch": "1153353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1558381608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "68 STIRLING DR",
            "city": "NORTH SCITUATE",
            "state": "RI",
            "postal_code": "028572942",
            "telephone_number": "401-934-0771",
            "fax_number": "401-934-0771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 SOCKANOSSET CROSS RD",
            "city": "CRANSTON",
            "state": "RI",
            "postal_code": "029205558",
            "telephone_number": "401-944-3725",
            "fax_number": "401-942-1999"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "311 Doric Ave",
            "address_purpose": "LOCATION",
            "city": "Cranston",
            "state": "RI",
            "postal_code": "029102903",
            "country_code": "US",
            "telephone_number": "401-467-9610",
            "fax_number": "401-467-9030",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOUTILIER",
        "first_name": "LINDA",
        "middle_name": "A.",
        "name_prefix": "Ms.",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-20",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "RI",
            "license": "ISW00117",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dennis D Botelho, MD
• Vlad Botezatu, DMD
• Caitlin Bouchard, LMHC
• Joseph Bouchard, LMHC
• Kayla Bourbonniere
• Jacklyn Bradley, PA-C
• William M Bradley, LMT
• Amy Bragger, RN
• Michele Denise Branagan, NP-C
• Alexandra Rae Branca, LICSW

• Clinical Social Worker in Cranston, RI
• Providers in Cranston, 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 Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.