Doctor Name: | MRS. SHARON T RUST |
NPI Number: | 1801907571 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LICWS |
License Number: | ISW 01229 |
Business Practice Address: | 8 Neck Rd Tiverton, RI - 028784010 |
Business Phone Number: | 4018418896 |
Business Fax Number: | 4018484192 |
Mailing Address: | 1 Bliss Rd, NEWPORT |
State: | RI |
Postal Code: | 028401811 |
Phone Number: | 4018495456 |
Fax Number: | |
NPI Enumeration Date: | 08/31/2006 |
NPI Last Update Date: | 06/01/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | ISW 01229 |
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 |