Individual
MS. CAROLYN D. GOODRICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LICSW
Contact information
Practice address
900 E SHORE RD, JAMESTOWN, RI 02835-1910
(401) 423-3526
(401) 423-3124
Mailing address
900 E SHORE RD, JAMESTOWN, RI 02835-1910
(401) 423-3526
(401) 423-3124
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
ISWOIOO8
RI
1041C0700X
Clinical Social Worker
SW-004614
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
26941-4
BLUE CROSS AND BLUE SHIEL
ID
01
—
411327
BLUE CHIP
RI
Enumeration date
05/12/2006
Last updated
07/09/2007
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