Individual provider · Type 1 NPI

Mary Ridge I, LICSW

Clinical Social Worker · Pawtucket, RI

NPI number 1295834323 Active

Practice location

160 Beechwood Ave
Pawtucket, RI 02860-5402

Call (401) 722-5573 Map

Fax (401) 726-5571

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XISW01744 (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 1295834323

Mary Ridge I, LICSW's National Provider Identifier is 1295834323, issued on Sep 22, 2006. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Pawtucket, RI. The record was last updated on Jul 8, 2007.