Individual
ERICA LYNN ORTELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
1032270
MA
1041C0700X
Clinical Social Worker
Primary
ISW01476
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1037470
NEIGHBORHOOD HEALTH PLAN
RI
01
—
265854
BCBS OF RI AND BLUECHIP
RI
01
—
270651
MENTAL HEALTH NETWORK
RI
01
—
6277241
UNITED BEHAVIORAL HEALTH
RI
Enumeration date
03/16/2007
Last updated
07/08/2007
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