Cameron Landry

Individual provider Active NPI Clinical Social Worker · Central Falls, RI

NPI 1972367050 · NPPES record last updated Apr 22, 2026

Key facts

NPI
1972367050
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Social Worker 1041C0700X
License
ISW04816 (RI)
Practice address
1000 Broad St
Central Falls, RI 02863-1507
Phone
(401) 312-1132
NPI assigned
Feb 9, 2024
Sex
Male
Sole proprietor
No

Organizations & group practices 2

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 Care Compare profile

Specialty
Clinical Social Worker
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Blackstone Valley Community Health Care Inc (49 clinicians)

Practice addresses (Care Compare)

39 E Ave
Pawtucket, RI 02860-4003
Phone (401) 312-9813

Medicare participation

Medicare fee-for-service enrollment
Enrolled in RI
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20241230002801 RI Practitioner - Clinical Social Worker 3173050366 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
ISW04816RIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Blackstone Valley Community Health Care, Inc. Current
since Oct 11, 2024
Accepting new patients
Blackstone Valley Community Health Care, Inc. Past Accepting new patients

Locations

1000 Broad St
Central Falls, RI 02863
Phone (401) 722-0081

9 Chestnut St
Central Falls, RI 02863
Phone (401) 722-0081

39 East Ave
Pawtucket, RI 02860
Phone (401) 722-0081

Interoperability endpoints

  • Direct secure messaging: cameron.landry.p1@direct.bvchc.nextgenshare.com

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X ISW04816 RI Yes

Addresses

Primary practice location

1000 Broad St
Central Falls, RI 02863-1507

Mailing address

43 Sheffield Ave
Providence, RI 02911-3329
Phone (401) 256-1089

Other providers in Central Falls, RI

All providers in Central Falls, RI · Clinical Social Worker in Rhode Island

Sources for this page

Verify at the official NPI Registry.