Individual
MR. DAVID A SWAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LICSW
Contact information
Practice address
35 S ANGELL ST, PROVIDENCE, RI 02906-5206
(401) 632-4045
(401) 632-4460
Mailing address
35 S ANGELL ST, PROVIDENCE, RI 02906-5206
(401) 632-4045
(401) 632-4460
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
ISW00390
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
002224
BLUE CHIP PROVIDER #
RI
01
—
30329-7
BLUE SHIELD PROVIDER #
RI
Enumeration date
05/17/2006
Last updated
06/25/2015
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