Individual
SALLY MCAULEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
CDP00448
RI
1041C0700X
Clinical Social Worker
Primary
ISW01401
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000030603
BLUE CROSS
RI
01
—
409691
BLUE CHIP
RI
01
—
6281078
UNITED HEALTH
RI
05
—
SM52074
—
RI
Enumeration date
09/27/2006
Last updated
02/24/2009
Update your record
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