Individual
LAURA J. SCUSSEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
ISW01397
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
30120-2
BLUE CROSS
RI
01
—
409068
BLUE CHIP
RI
05
—
LB41629
—
RI
Enumeration date
08/31/2006
Last updated
11/06/2019
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