Individual
CHRISTINE L ENOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
610 WAMPANOAG TRL, EAST PROVIDENCE, RI 02915-1504
(401) 431-9870
Mailing address
78 BELMONT AVE, EAST PROVIDENCE, RI 02914-3906
(401) 435-4147
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
ISW01257
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
30015-7
BLUE CROSS
—
01
—
407210
BLUE CHIP
RI
01
—
62-59567
UNITED BEHAVIORAL HEALTH
RI
05
—
CA26320
—
RI
01
—
ISW01257
SOCIAL WORK LICENSE
RI
Enumeration date
12/23/2005
Last updated
10/20/2009
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