Individual provider · Type 1 NPI

Samuel Reilly Dubois, LICSW

Clinical Social Worker · Providence, RI

NPI number 1891437893 Active

Practice location

1 Richmond Sq Ste 300E
Providence, RI 02906-5160

Specialties and licenses

Taxonomy	Code	License
Clinical Social Worker	1041C0700X	CSW03213 (RI)
Social Worker	104100000X	000227826 (MA)
Clinical Social Worker Primary	1041C0700X	ISW04823 (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 1891437893

Samuel Reilly Dubois, LICSW's National Provider Identifier is 1891437893, issued on Apr 11, 2022. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Providence, RI. The record was last updated on May 13, 2026.