Individual
CHARLENE ZIENOWICZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
1240 PAWTUCKET AVE, RUMFORD, RI 02916-1427
(401) 369-7618
(401) 369-7619
Mailing address
1240 PAWTUCKET AVE, RUMFORD, RI 02916-1427
(401) 369-7618
(401) 369-7619
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
ISW01195
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1040910
NEIGHBORHOOD HEALTH PLAN
RI
01
—
29559-8
BLUE CROSS BLUE SHIELD
RI
01
—
412608
BLUE CROSS BLUE CHIP
RI
Enumeration date
11/01/2006
Last updated
07/08/2007
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