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NPI Code Detail

MEDICARE: NICHOLAS PAUL DUHAMEL LICSW

MEDICARE: NICHOLAS PAUL DUHAMEL LICSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social WorkerISW04304RI
21041C0700XClinical Social WorkerLICSW1121643MA
31041C0700XClinical Social Worker
41041C0700XClinical Social WorkerCSW02591RI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1LICSW1121643OTHERMALICSW

General Provider Information

NPI Number : 1134793805
Entity Type Code : Individual
Provider Name (Legal Business Name) : NICHOLAS PAUL DUHAMEL LICSW
Provider Business Mailing Address
First Line : 307 GREENWICH AVE APT E202
Second Line :
City : WARWICK
State : RI
Zip : 02886-1698
Country : US
Telephone Number : 401-318-7688
Fax Number :
Provider Business Practice Location Address
First Line : 390 TOLL GATE RD STE 206
Second Line :
City : WARWICK
State : RI
Zip : 02886-4351
Country : US
Telephone Number : 401-318-7688
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/18/2021
Last Update Date : 01/20/2026

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