Doctor Name: | MR. BENJAMIN CHOKSHI-FOX |
NPI Number: | 1558505867 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | LICSW |
License Number: | ISW01965 |
Business Practice Address: | 21 Lincoln Ave Central Falls, RI - 028632012 |
Business Phone Number: | 4017229998 |
Business Fax Number: | 4017220990 |
Mailing Address: | 21 Lincoln Ave, CENTRAL FALLS |
State: | RI |
Postal Code: | 028632012 |
Phone Number: | 4017229998 |
Fax Number: | 4017220990 |
NPI Enumeration Date: | 04/30/2009 |
NPI Last Update Date: | 04/30/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | ISW01965 |
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 |