Individual provider · Type 1 NPI

Gina Marie Iaciofano, LICSW

Clinical Social Worker · Riverside, RI

NPI number 1457643348 Active

Practice location

1445 Wampanoag Trl, Suite 106
Riverside, RI 02915-1000

Call (401) 437-8844 Map

Mailing address

697 Woodward Rd
North Providence, RI 02904-3139

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XISW02121 (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 1457643348

Gina Marie Iaciofano, LICSW's National Provider Identifier is 1457643348, issued on May 10, 2011. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Riverside, RI. The record was last updated on May 10, 2011.