Individual
MR. ROBERT CARLIN SHERIDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSW
Contact information
Practice address
501 ANGELL ST, SECOND FLOOR, PROVIDENCE, RI 02906
(401) 861-6747
Mailing address
501 ANGELL ST, SECOND FLOOR, PROVIDENCE, RI 02906
(401) 861-6747
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
ISW00234
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
37891
BLUE CROSS & BLUE SHIELD
RI
01
—
6242195
UBH
RI
Enumeration date
02/01/2007
Last updated
07/08/2007
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