Healthcare Provider Details

I. General information

NPI: 1023657582
Provider Name (Legal Business Name): ERIN ELIZABETH RAPOSO LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/02/2020
Last Update Date: 01/02/2020
Certification Date: 01/02/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1023 POST RD
WARWICK RI
02888-3363
US

IV. Provider business mailing address

428 OLD PROVIDENCE RD
SWANSEA MA
02777-3314
US

V. Phone/Fax

Practice location:
  • Phone: 401-773-7116
  • Fax:
Mailing address:
  • Phone: 401-556-5606
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberCSW02080
License Number StateRI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: