Healthcare Provider Details

I. General information

NPI: 1619951050
Provider Name (Legal Business Name): JOAN SHEFF MSW
Entity Type: Individual
Gender: Female
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 11/30/2005
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1087 WARWICK AVE
WARWICK RI
02888-3545
US

IV. Provider business mailing address

9 EVERGREEN ST
BARRINGTON RI
02806-2603
US

V. Phone/Fax

Practice location:
  • Phone: 401-461-6676
  • Fax: 401-461-3165
Mailing address:
  • Phone: 401-245-8384
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License NumberISW00098
License Number StateRI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: