Doctor Name: | MS. MARTHA DEMPSTER |
NPI Number: | 1053464990 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LICSW |
License Number: | ISW01537 |
Business Practice Address: | 1130 Ten Rod Rd D104 North Kingstown, RI - 028524180 |
Business Phone Number: | 4019359784 |
Business Fax Number: | 4012955552 |
Mailing Address: | 1130 Ten Rod Rd, D104 NORTH KINGSTOWN |
State: | RI |
Postal Code: | 028524180 |
Phone Number: | 4019359784 |
Fax Number: | 4012955552 |
NPI Enumeration Date: | 01/22/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | ISW01537 |
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 |