Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mrs. Theresa Rolande Poulin, LICSW

Individual provider Clinical Social Worker · NPI 1912017773

Mrs. Theresa Rolande Poulin, LICSW is a Clinical Social Worker in New Bedford, Massachusetts. Qualified in 1996, 30 years ago. Practices as a sole proprietor, accepts Medicare assignment and offers telehealth. Licensed in Massachusetts and Rhode Island.

Years since qualifying
30
Licensed in
MA, RI
In the registry since
2006
Specialties on file
2
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

50 N Second St
New Bedford, MA 02740
Phone: (508) 990-2077
Fax: (508) 990-7808
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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 1031129 (MA)
Clinical Social Worker Taxonomy 1041C0700X · Licence ISWO1372 (RI)

Record details

NPI number1912017773
Entity typeIndividual (Type 1)
GenderFemale
Credentials LICSW
Sole proprietorYes
NPI enumeratedAugust 30, 2006
Last updated in NPPESAugust 25, 2014

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 1996 (30 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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