Individual
CAREN PRIDEAUX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
176 SUMMIT ST, EAST PROVIDENCE, RI 02914-4422
(401) 569-7786
Mailing address
176 SUMMIT ST, EAST PROVIDENCE, RI 02914-4422
(401) 569-7786
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
ISW01679
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
30983-3
BLUE CROSS
RI
01
—
413122
BLUE CHIP
RI
01
—
62-47773
UNITED BEHAVIORAL HEALTH
RI
05
—
CP58572
—
RI
Enumeration date
06/01/2006
Last updated
10/23/2009
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