Individual
LISA MANSFIELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
400 BALD HILL RD, WARWICK, RI 02886-1617
(401) 349-3131
Mailing address
4800 N SCOTTSDALE RD STE 2500, SCOTTSDALE, AZ 85251-7630
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
ISW00993
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000030548
RI BLUE CROSS PROVIDER #
RI
01
—
406469
RI BLUE CHIP PROVIDER #
RI
Enumeration date
04/09/2007
Last updated
08/29/2024
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