Organization
ST. MARY'S HOME FOR CHILDREN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BERNARD J SMITH LICSW (CHIEF EXECUTIVE OFFICER)
(401) 353-3900
Entity
Organization
Contact information
Practice address
135 NORWOOD AVE, CRANSTON, RI 02905-3914
(401) 784-3530
(401) 784-3549
Mailing address
420 FRUIT HILL AVE, NORTH PROVIDENCE, RI 02911-2626
(401) 353-3900
(401) 354-7986
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
SM02342
—
RI
Enumeration date
08/22/2006
Last updated
08/22/2020
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