Individual
FRED ZUCCONI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LICSW
Contact information
Practice address
530 N MAIN ST, PROVIDENCE, RI 02904-5762
(401) 386-7984
Mailing address
49 ROGER WILLIAMS AVE, RUMFORD, RI 02916-2811
(401) 386-7984
(401) 528-0188
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
1027414
MA
1041C0700X
Clinical Social Worker
Primary
ISW01214
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1023290
GROUP BEACON HEALTH
RI
01
—
30311-2
BLUE CROSS/SHIELD
—
01
—
407070
BLUE CHIP
—
01
—
62-76970
UNITED BEHAVIORAL HEALTH
RI
05
—
FM49368
—
RI
Enumeration date
10/26/2006
Last updated
07/14/2025
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