Individual
HAROLD GOLDIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LICSW
Contact information
Practice address
101 BACON ST, PAWTUCKET, RI 02860-5542
(401) 722-3560
(401) 722-3593
Mailing address
P.O. BOX 899, WAKEFIELD, RI 02879-2222
(401) 364-7705
(401) 364-7705
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
050306183
MULTIPLAN
RI
01
—
1020890
BEACON NHP
RI
01
—
233232
TRICARE
RI
01
—
306186
BCBS
RI
01
—
406478
BLUE CHIP
RI
01
—
6234382
UBH
RI
01
—
A007959
VALUE OPTIONS
RI
05
—
HG13028
—
RI
01
—
RI0007930
CHAMPUS
RI
Enumeration date
10/27/2006
Last updated
07/08/2016
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