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Individual

ERICA LYNN ORTELL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LICSW

Contact information

Practice address
2444 E MAIN RD, PORTSMOUTH, RI 02871-4025
(401) 683-6210
(401) 683-6212
Mailing address
44 CORAL AVE, PORTSMOUTH, RI 02871-4822
(401) 714-7943

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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