Individual
REBECCA SMALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
6 BLACKSTONE VALLEY PL, LINCOLN, RI 02865-1179
(401) 245-6421
(860) 599-2569
Mailing address
6 LEE DR, PAWCATUCK, CT 06379-2540
(401) 245-6421
(860) 599-2569
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
ISW00465
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000003416
BLUE CROSS
RI
01
—
6231079
UNITED BEHAVIORAL HEALTH
RI
Enumeration date
02/06/2007
Last updated
07/08/2007
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