Individual
MS. ERICA VON VILLAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
610 WAMPANOAG TRL, RIVERSIDE, RI 02915-1504
(401) 431-9870
(401) 438-1957
Mailing address
15 CAROLE DR, TIVERTON, RI 02878-3120
(401) 431-9870
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
ISW01578
RI
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
27560-2
BLUE CROSS
RI
01
—
411846
BLUE CHIP
RI
05
—
EV62503
—
RI
Enumeration date
09/24/2006
Last updated
06/06/2019
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