Individual
JOSEPH EDWARD FAULKNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LICSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
ISW00458
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000021447
RI BLUE CROSS PROVIDER #
RI
01
—
408809
RI BLUE CHIP PROVIDER #
RI
Enumeration date
04/09/2007
Last updated
08/29/2024
Update your record
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