Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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MS. Renee Brochester, LICSW

Individual provider Clinical Social Worker · NPI 1548304090

MS. Renee Brochester, LICSW is a Clinical Social Worker in Pawtucket, Rhode Island. Qualified in 1972, 54 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in California, Massachusetts and Rhode Island.

Years since qualifying
54
Licensed in
CA, MA, RI
In the registry since
2007
Specialties on file
3
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

100 Lafayette St Ste 305
Pawtucket, RI 02860-6008
Phone: (401) 351-5633
Fax: (401) 331-9750
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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 ISW00817 (RI)
Clinical Social Worker Taxonomy 1041C0700X · Licence 9679 (CA)
Clinical Social Worker Taxonomy 1041C0700X · Licence 107637 (MA)

Record details

NPI number1548304090
Entity typeIndividual (Type 1)
GenderFemale
Credentials LICSW
Sole proprietorYes
NPI enumeratedFebruary 17, 2007
Last updated in NPPESNovember 23, 2020
Certification dateNovember 23, 2020

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 1972 (54 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Pawtucket