Individual
STEVE BERUBE
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
LICSW
Contact information
Practice address
610 WAMPANOAG TRL, EAST PROVIDENCE, RI 02915-1504
(401) 431-9870
Mailing address
140 ROCKY HILL RD, REHOBOTH, MA 02769-1413
(508) 212-5334
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
ISW01562
RI
1041C0700X
Clinical Social Worker
MA LR 110751
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
27094-2
BLUE CROSS
RI
01
—
411408
BLUE CHIP
RI
01
—
62-84727
UBH
RI
05
—
SB26957
—
RI
Enumeration date
01/18/2006
Last updated
07/08/2007
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