Individual provider · Type 1 NPI

Gina A. Pakuris, LICSW

Clinical Social Worker · Providence, RI

NPI number 1992086532 Active

Practice location

345 Blackstone Blvd, Annex Bldg - Room 232
Providence, RI 02906-4800

Call (800) 370-3651 Map

Fax (860) 510-0020

Mailing address

20 Research Pkwy
Old Saybrook, CT 06475-4214

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XISW02168 (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 1992086532

Gina A. Pakuris, LICSW's National Provider Identifier is 1992086532, issued on Sep 8, 2011. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Providence, RI. The record was last updated on Sep 8, 2011.