Individual
IVY MEDEIROS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
245 MAIN ST, WOONSOCKET, RI 02895-3123
(401) 235-7000
(401) 767-4516
Mailing address
PO BOX 1700, WOONSOCKET, RI 02895-0856
(401) 235-7000
(401) 767-4516
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
ISW02077
RI
Other
Enumeration date
07/06/2017
Last updated
04/30/2026
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