NPI 1912598046 · live from the CMS NPI Registry
Emdr & Somatic Psychotherapies Of Rhode Island
Social Worker, Clinical in Providence, RI. National Provider Identifier 1912598046, active.
NPI record
| NPI | 1912598046 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Social Worker, Clinical 1041C0700X |
| Practice location | 1 Richmond Sq Ste 333c, Providence, RI 02906 |
| Practice phone | 401-441-5834 |
| Mailing address | Po Box 5, Kingston, RI 02881 |
| Enumerated | February 1, 2021 |
| Last updated | October 13, 2022 |
| Authorized official | Madrone Phoenix, Owner |
| Other names | South County Mental Health |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor, Mental Health | 101YM0800X | — |
| Marriage & Family Therapist | 106H00000X | — |
| Nurse Practitioner, Psych/Mental Health | 363LP0808X | — |
| Social Worker, Clinical primary | 1041C0700X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.