| Doctor Name: | ANITA MINKIN |
| NPI Number: | 1063566917 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | CSW |
| License Number: | 110026 |
| Business Practice Address: | 750 East Ave Pawtucket, RI - 028606165 |
| Business Phone Number: | 4014575252 |
| Business Fax Number: | 4013160439 |
| Mailing Address: | 750 East Ave, PAWTUCKET |
| State: | RI |
| Postal Code: | 028606165 |
| Phone Number: | 4014575252 |
| Fax Number: | 4013160439 |
| NPI Enumeration Date: | 01/22/2007 |
| NPI Last Update Date: | 11/12/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | 110026 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | MA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |