Justin Souliere, LICSW
NPI 1710576004 · Clinical Social Worker · Providence, RI
Enrolled with Medicare as Practitioner - Clinical Social Worker · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Justin Souliere, LICSW is a Clinical Social Worker provider in Providence, RI (NPI 1710576004).
Provider details
- NPI number
- 1710576004
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Credential
- LICSW
- Sex
- Male
- Sole proprietor
- No
- License
- ISW04046 (RI)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2021-01-12
- Last updated
- 2024-07-10
- Certified
- 2024-07-10
Frequently asked questions
- What is Justin Souliere's NPI number?
- Justin Souliere's National Provider Identifier (NPI) is 1710576004, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Justin Souliere's specialty?
- Justin Souliere is listed in the NPPES registry with a primary specialty of Clinical Social Worker (Behavioral Health & Social Service Providers).
- Where is Justin Souliere located?
- Justin Souliere's practice location on file with NPPES is 164 Summit Ave, Providence, RI 02906-2853.
- What is Justin Souliere's phone number?
- The practice phone number listed in the NPPES registry for Justin Souliere is (401) 793-2920.
- Does Justin Souliere accept Medicare?
- Justin Souliere is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Justin Souliere's NPI active?
- Yes — Justin Souliere's NPI (1710576004) is active in the NPPES registry as of the last update on 2024-07-10.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.