Individual
MR. DAVID JAMES STANFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSW, LICSW, LCDP II
Contact information
Practice address
72 3RD ST, PROVIDENCE, RI 02906-2729
(401) 276-2723
(401) 276-2723
Mailing address
21 WHITMAN ST, PAWTUCKET, RI 02860-4901
(401) 723-4397
(401) 276-2723
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
ISW01795
RI
1041C0700X
Clinical Social Worker
Primary
LICSW120720
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ISW01795
ICSW
RI
Enumeration date
05/20/2007
Last updated
03/20/2025
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