Organization
GATEWAY HEALTHCARE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH CLIFFORD LICSW (LICSW)
(401) 724-8400
Entity
Organization
Contact information
Practice address
101 BACON ST, PAWTUCKET, RI 02860-5542
(401) 722-3560
(401) 724-3120
Mailing address
249 ROOSEVELT AVE, SUITE 205, PAWTUCKET, RI 02860-2134
(401) 724-8400
(401) 365-1100
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
ISW000747
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
412683
LUE CHIP
RI
Enumeration date
07/10/2006
Last updated
08/22/2020
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