Healthcare Provider Details

I. General information

NPI: 1285745919
Provider Name (Legal Business Name): ROSEMARIE A ABBRUZZESE LICSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/31/2006
Last Update Date: 04/17/2026
Certification Date: 04/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

400 BALD HILL RD STE 510
WARWICK RI
02886-1692
US

IV. Provider business mailing address

65 ASPINOCK RD
PUTNAM CT
06260-3100
US

V. Phone/Fax

Practice location:
  • Phone: 401-678-6515
  • Fax: 401-384-7226
Mailing address:
  • Phone: 401-678-6515
  • Fax: 401-385-7226

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberISW01436
License Number StateRI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: