# MR. EDWARD JACK PRICE

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1285363366
- **Gender:** Man
- **Credential:** LICSW

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1041C0700X | Clinical Social Worker | ISW04644 | RI | Yes |
| 1041C0700X | Clinical Social Worker | LICSW1140841 | MA | — |

## Other

- **Enumeration date:** 06/06/2022
- **Last updated:** 02/09/2026