Individual
LUZ OSPINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
100 MEDWAY ST, PROVIDENCE, RI 02906-4402
(401) 421-4100
(401) 454-5565
Mailing address
100 MEDWAY ST, PROVIDENCE, RI 02906-4402
(401) 421-4100
(401) 454-5565
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
ISW 01622
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
05-385696
TRICARE
RI
01
—
1021010
BEACON
RI
01
—
27822-9
BLUE CROSS BLUE SHIELD
RI
01
—
411912
BLUE CHIP
RI
05
—
LO 47575
—
RI
Enumeration date
03/28/2007
Last updated
07/08/2007
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