Individual
FRED ZUCCONI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LICSW
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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