Individual provider · Type 1 NPI

Marlena-Ray Breault, LCDP, ACDP

Clinical Social Worker · Providence, RI

NPI number 1144619172 Active

Practice location

830 Chalkstone Ave
Providence, RI 02908-4734

Call (401) 273-7100 Map

Fax (401) 525-2586

Mailing address

117 Ellenfield St Ste 101
Providence, RI 02905-4541

Other practice locations

  • 1443 Hartford Ave, Johnston, RI 02919-3224 · (401) 273-8100

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400XCDP00601 (RI)
Clinical Social Worker Primary 1041C0700XISW03485 (RI)

Clinical Social Worker: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpers…

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About NPI 1144619172

Marlena-Ray Breault, LCDP, ACDP's National Provider Identifier is 1144619172, issued on Jan 14, 2015. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Providence, RI. The record was last updated on Aug 5, 2025.