Individual
TODD M CASSIDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LICSW
Contact information
Practice address
10 PARK ROW W APT 635, PROVIDENCE, RI 02903-1182
(781) 775-7735
Mailing address
10 PARK ROW W APT 635, PROVIDENCE, RI 02903-1182
(781) 775-7735
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
120187
MA
1041C0700X
Clinical Social Worker
ISW03109
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110121919A
—
MA
Enumeration date
07/28/2011
Last updated
04/10/2025
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