Individual
JOAN A SOUZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW LICSW
Contact information
Practice address
1 RICHMOND SQUARE, SUITE 232E, PROVIDENCE, RI 02906-4318
(401) 273-4999
(401) 273-4999
Mailing address
1 RICHMOND SQUARE, SUITE 232E, PROVIDENCE, RI 02906-4318
(401) 273-4999
(401) 273-9999
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
110419
MA
104100000X
Social Worker
Primary
ISW01249
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
22359
BLUE CROSS
RI
01
—
380354
MAGELLAN
MA
01
—
380354
MAGELLAN
RI
01
—
6234979
UBH
RI
Enumeration date
08/30/2006
Last updated
12/13/2017
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