Healthcare Provider Details

I. General information

NPI: 1700918984
Provider Name (Legal Business Name): SPENCE HOBBS MSW, LICSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/12/2007
Last Update Date: 05/18/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2 OLD COUNTY RD EAST BAY CENTER, INC.
BARRINGTON RI
02806-1600
US

IV. Provider business mailing address

7 VALENTINE DR
BARRINGTON RI
02806-2314
US

V. Phone/Fax

Practice location:
  • Phone: 401-246-1195
  • Fax:
Mailing address:
  • Phone: 401-289-0712
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberISW01699
License Number StateRI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: