Individual
SUSAN BELITSKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
580 WICKENDEN ST, PROVIDENCE, RI 02903-4400
(401) 621-1836
(401) 842-0360
Mailing address
580 WICKENDEN ST, PROVIDENCE, RI 02903-4400
(401) 621-1836
(401) 842-0360
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
ISW01590
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
SB55217
—
RI
Enumeration date
05/18/2006
Last updated
11/07/2007
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