Organization Name: | NORMA L. WELITOFF ,LICSW |
NPI Number: | 1275655946 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | NORMA LYNNE WELITOFF (OWNER, CLINICIAN) |
Mailing Address: | 1130 Ten Rod Rd Bldg E Suite 206b North Kingstown |
State: | RI US |
Postal Code: | 028524161 |
Phone Number: | 4013787878 |
Fax Number: | 4012943030 |
NPI Enumeration Date: | 04/04/2007 |
NPI Last Update Date: | 07/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | ISW01253 |
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 |