Doctor Name: | MR. JOHN JOSEPH CHARETTE |
NPI Number: | 1003123498 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | LICSW |
License Number: | ISW02092 |
Business Practice Address: | 222 Lapham Farm Rd Pascoag, RI - 028594001 |
Business Phone Number: | 4014800626 |
Business Fax Number: | |
Mailing Address: | 222 Lapham Farm Rd, PASCOAG |
State: | RI |
Postal Code: | 028594001 |
Phone Number: | 4014800626 |
Fax Number: | |
NPI Enumeration Date: | 09/07/2010 |
NPI Last Update Date: | 09/07/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | ISW02092 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | RI |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |