Individual provider · Type 1 NPI

Christine Miller Bandoni, LICSW

Clinical Social Worker · Portsmouth, RI

NPI number 1235276395 Active

Practice location

10 King Charles Dr., Bldg. 100 Suite 107
Portsmouth, RI 02871

Mailing address

2091 Main Rd
Tiverton, RI 02878-4607

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XISW01784 (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 1235276395

Christine Miller Bandoni, LICSW's National Provider Identifier is 1235276395, issued on Jan 30, 2007. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Portsmouth, RI. The record was last updated on Jul 8, 2007.