Doctor Name: | MRS. JUDITH HILL CHICK |
NPI Number: | 1851621221 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LICSW |
License Number: | ISW00865 |
Business Practice Address: | 23 North Rd Ste A13 Peace Dale, RI - 028792176 |
Business Phone Number: | 4014772664 |
Business Fax Number: | |
Mailing Address: | 9 Saratoga Ave, WESTERLY |
State: | RI |
Postal Code: | 028911117 |
Phone Number: | 4013485035 |
Fax Number: | |
NPI Enumeration Date: | 01/07/2010 |
NPI Last Update Date: | 01/07/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | ISW00865 |
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 |