Individual
BETHANY BEAUREGARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
100 KENYON AVE, WAKEFIELD, RI 02879-4216
(401) 788-2122
Mailing address
PO BOX 229, WAKEFIELD, RI 02880-0229
(401) 788-3929
(401) 788-3939
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW04443
RI
Other
Enumeration date
03/18/2026
Last updated
04/07/2026
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