Doctor Name: | PERIANE THOMAS |
NPI Number: | 1306069786 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LISW |
License Number: | ISW01083 |
Business Practice Address: | 94 John Potter Rd West Greenwich, RI - 028172099 |
Business Phone Number: | 4013978473 |
Business Fax Number: | 4013979051 |
Mailing Address: | 94 John Potter Rd, WEST GREENWICH |
State: | RI |
Postal Code: | 028172099 |
Phone Number: | 4013978473 |
Fax Number: | 4013979051 |
NPI Enumeration Date: | 04/11/2007 |
NPI Last Update Date: | 07/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | ISW01083 |
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 |