Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Julia Marie Bussolari, LICSW

Individual provider Clinical Social Worker · NPI 1871174946

Julia Marie Bussolari, LICSW is a Clinical Social Worker in Providence, Rhode Island. Qualified in 2019, 7 years ago. Practices with United Cerebral Palsy of Rhode Island Inc, a 5-clinician group and accepts Medicare assignment. Licensed in Rhode Island.

Years since qualifying
7
Licensed in
RI
In the registry since
2021
What do these letters mean?
LICSW — Licensed Independent Clinical Social Worker
The title some states use for an independently practising clinical social worker.

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Practice location Address checks out

1 Richmond Sq Ste 103K
Providence, RI 02906-5166
Phone: (401) 349-3131
Fax: (401) 921-5109
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence ISW04323 (RI)

Record details

NPI number1871174946
Entity typeIndividual (Type 1)
GenderFemale
Credentials LICSW
Sole proprietorYes
NPI enumeratedApril 19, 2021
Last updated in NPPESJuly 21, 2025
Certification dateJuly 21, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice United Cerebral Palsy Of Rhode Island Inc — 5 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Providence