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Individual

ANDREW WHITE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LICSW

Contact information

Practice address
593 EDDY STREET POTTER 1, PROVIDENCE, RI 02903-4923
(401) 444-2315
(401) 444-8836
Mailing address
528 N MAIN ST, PROVIDENCE, RI 02904-5757

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
ISW01876
RI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1093741563
UBH
RI
01
1104847946
THE PROVIDENCE CENTER NPI
RI
01
33313-7
B. CROSS
RI
01
414689
B. CHIP
RI
05
AW54119
RI
Enumeration date
06/24/2006
Last updated
10/07/2025
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