Doctor Name: | RICHARD D. FREIN |
NPI Number: | 1295756872 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | LCSW |
License Number: | 005511 |
Business Practice Address: | 1007 North Main St. Dayville, CT - 062410839 |
Business Phone Number: | 8607742020 |
Business Fax Number: | 8607740826 |
Mailing Address: | 4 Grove Ave, JOHNSTON |
State: | RI |
Postal Code: | 029192014 |
Phone Number: | 4012316498 |
Fax Number: | |
NPI Enumeration Date: | 07/21/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 005511 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CT |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |