Individual provider · Type 1 NPI

Amanda Elaine Pelletier, LICSW

Clinical Social Worker · Riverside, RI

NPI number 1194864686 Active

Practice location

1011 Veterans Memorial Pkwy
Riverside, RI 02915-5061

Call (401) 432-1000 Map

Fax (401) 432-1500

Mailing address

117 Ellenfield St Ste 101
Providence, RI 02905-4513

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker 1041C0700X113201 (MA)
Clinical Social Worker Primary 1041C0700XISW01691 (RI)

Clinical Social Worker: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpers…

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About NPI 1194864686

Amanda Elaine Pelletier, LICSW's National Provider Identifier is 1194864686, issued on Feb 5, 2007. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Riverside, RI. The record was last updated on Nov 13, 2017.