Individual
ELIZABETH BULLINGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
650 TEN ROD RD, NORTH KINGSTOWN, RI 02852-4238
(401) 263-3003
Mailing address
650 TEN ROD RD, NORTH KINGSTOWN, RI 02852-4238
(401) 263-3003
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
ISW01171
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
30021-4
BLUE CROSS & BLUE SHIELD
RI
Enumeration date
06/19/2006
Last updated
02/02/2026
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