# JOHN E ANZIVINO

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1588001085
- **Authorized official:** MR. JOHN EDWARD ANZIVINO MSW, ACSW (CLINICAL SOCIAL WORKER)
- **Authorized official phone:** (401) 225-2224

## Contact information

- **Practice address:** 267 MAIN ST, EAST GREENWICH, RI 02818-3750
- **Practice address phone:** (401) 225-2224
- **Mailing address:** 12 SURREY DR, JOHNSTON, RI 02919-2073
- **Mailing address phone:** (401) 225-2224

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1041C0700X | Clinical Social Worker | ISW00123 | RI | Yes |

## Other

- **Enumeration date:** 05/24/2013
- **Last updated:** 05/24/2013