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

Richard Breault, LICSW

Individual provider Clinical Social Worker · NPI 1104204619

Richard Breault, LICSW is a Clinical Social Worker in Worcester, Massachusetts. Licensed in Massachusetts. Registered with an NPI since 2015.

Licensed in
MA
In the registry since
2015
What do these letters mean?
LICSW — Licensed Independent Clinical Social Worker
The title some states use for an independently practising clinical social worker.

See every abbreviation used in this directory →

Practice location Address checks out

50 Elm St Ste 3B
Worcester, MA 01609-2574
Phone: (508) 755-0436
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 1017552 (MA)

Record details

NPI number1104204619
Entity typeIndividual (Type 1)
GenderMale
Credentials LICSW
Sole proprietorNo
NPI enumeratedMay 16, 2015
Last updated in NPPESMay 16, 2015

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