Individual
SHEILA M MOONEY
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
1534 ATWOOD AVE, SUITE 213, JOHNSTON, RI 02919-3223
(401) 351-0400
(401) 351-0410
Mailing address
10 ORMS ST, SUITE 110, PROVIDENCE, RI 02904-2228
(401) 453-0666
(401) 453-9619
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
ISW01005
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
30859-1
BLUE SHIELD PROVIDER #
RI
01
—
407729
BLUE CHIP PROVIDER #
RI
01
—
81209
UNITED HEALTH PROVIDER #
RI
Enumeration date
06/13/2006
Last updated
07/08/2007
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