Individual
MRS. SHARON T RUST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICWS
Contact information
Practice address
8 NECK RD, TIVERTON, RI 02878-4010
(401) 207-4316
(401) 207-4316
Mailing address
87 BISMARK AVE, TIVERTON, RI 02878-2034
(401) 207-4316
(401) 375-5224
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
ISW 01229
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1021100
NHP - GROUP NUMBER
NE
01
—
30641-2
BLUE CROSS/ BLUE SHIELD
RI
01
—
311822
MAGELLAN- GROUP NUMBER
RI
01
—
340648
TRI-CARE
RI
01
—
406910
BLUE CHIP
RI
01
—
62-27979
UNITED BEHAVIORAL HEALTH
RI
05
—
SR31997
—
RI
Enumeration date
08/31/2006
Last updated
10/02/2023
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