Individual
EILEEN P LANDRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
68 CUMBERLAND ST, SUITE 102, WOONSOCKET, RI 02895-3323
(401) 356-1940
(401) 356-1949
Mailing address
68 CUMBERLAND ST, SUITE 102, WOONSOCKET, RI 02895-3323
(401) 356-1940
(401) 356-1949
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
107738
MA
1041C0700X
Clinical Social Worker
Primary
ISW00837
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
314118
BLUE CROSS BLUE SHIELD
RI
01
—
413301
BLUE CHIP
RI
01
—
495432
TUFTS
RI
01
—
6221833
UNITED HEALTH CARE
RI
05
—
EL04089
—
RI
Enumeration date
07/19/2006
Last updated
12/31/2007
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