Organization Active NPI

Healing Source LLC

  • Clinical Social Worker
  • Providence, RI
National Provider Identifier
1982494753
Registry record updated Jul 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
HEALING SOURCE LLC
Practice address
205 Waterman St Ste 201
Providence, RI 02906-4313
Phone
(401) 753-4816
NPI assigned
May 7, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2025

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

Authorized official

Name
Joelle A DepeyrotNPI 1194857201
Title
President
Phone
(401) 753-4816

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X Primary

Addresses

Primary practice location

205 Waterman St Ste 201
Providence, RI 02906-4313

Mailing address

205 Waterman St Ste 201
Providence, RI 02906-4313
Phone (401) 753-4816

National Provider Directory

National Provider Directory

Locations

205 Waterman St
Ste 201
Providence, RI 02906
Phone (401) 263-2272

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1746576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1752796800000",
    "number": "1982494753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 WATERMAN ST STE 201",
            "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 201",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029064313",
            "telephone_number": "401-753-4816"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALING SOURCE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-07",
        "last_updated": "2025-07-18",
        "certification_date": "2025-07-18",
        "status": "A",
        "authorized_official_last_name": "DEPEYROT",
        "authorized_official_first_name": "JOELLE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "401-753-4816"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Providence, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.