Healthcare Provider Details

I. General information

NPI: 1568523066
Provider Name (Legal Business Name): LINDA D CIOLFI LICSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/12/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1130 TEN ROD RD BLDG C SUITE 205A
NORTH KINGSTOWN RI
02852-4161
US

IV. Provider business mailing address

1130 TEN ROD RD BLDG C SUITE 205A
NORTH KINGSTOWN RI
02852-4161
US

V. Phone/Fax

Practice location:
  • Phone: 401-294-9900
  • Fax: 401-995-4648
Mailing address:
  • Phone: 401-294-9900
  • Fax: 401-995-4648

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberISW00640
License Number StateRI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: