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Individual

MRS. VIRGINIA M CERBO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LICSW

Contact information

Practice address
546 MAIN RD, TIVERTON, RI 02878-1350
(401) 447-1544
(000) 000-0000
Mailing address
PO BOX 233, TIVERTON, RI 02878-0233
(401) 447-1544
(000) 000-0000

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
LSW00275
RI
1041C0700X
Clinical Social Worker
102077
MA
1041C0700X
Clinical Social Worker
Primary
ISW00275
RI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
406364
BLUE CHIP
RI
01
7503001
MASS BLT
01
75035
BLT
RI
01
774623
TUFTS
Enumeration date
09/22/2006
Last updated
11/16/2025
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