Individual provider · Type 1 NPI

Autumn Marie Gaudreau

Clinical Social Worker · Johnston, RI

NPI number 1669211512 Active

Practice location

1443 Hartford Avenue
Johnston, RI 02919

Call (401) 273-8100 Map

Mailing address

117 Ellenfield Street, Ste. 101
Providence, RI 02905

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XCSW03814 (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 1669211512

Autumn Marie Gaudreau's National Provider Identifier is 1669211512, issued on May 21, 2024. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Johnston, RI. The record was last updated on Mar 27, 2025.