Individual
MS. PATRICIA ANN SURPRENANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW,LICSW,ACSW
Contact information
Practice address
1676 EAST MAIN ROAD, PORTSMOUTH, RI 02871-2440
(401) 864-0002
(508) 567-3376
Mailing address
PO BOX 4546, MIDDLETOWN, RI 02842-7218
(401) 864-0002
(508) 567-3376
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
1027841
MA
1041C0700X
Clinical Social Worker
Primary
ISW01076
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
809002881
—
RI
05
—
9002881
—
RI
Enumeration date
10/24/2005
Last updated
10/20/2017
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