NPI 1174564546 · live from the CMS NPI Registry
Rhode Island Integrated Medicine
Social Worker in Cranston, RI. National Provider Identifier 1174564546, active.
NPI record
| NPI | 1174564546 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Social Worker 104100000X |
| Practice location | 521 Park Ave, Cranston, RI 02910 |
| Practice phone | 401-781-3374 |
| Enumerated | June 9, 2006 |
| Last updated | July 23, 2008 |
| Authorized official | Victor Pedro, Director |
| Other names | Ri Integrated Medicine |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor, Neurology | 111NN0400X | 244DC (RI) |
| Social Worker primary | 104100000X | ISW1224 (RI) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.