Healthcare Provider Details

I. General information

NPI: 1518019033
Provider Name (Legal Business Name): BARBARA LAMOUREUX MSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: BARBARA DECOSTA MSW

II. Dates (important events)

Enumeration Date: 01/17/2007
Last Update Date: 07/09/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

300 CENTERVILLE RD THE KENT CENTER
WARWICK RI
02886-0200
US

IV. Provider business mailing address

500 RESERVOIR RD
CUMBERLAND RI
02864-1652
US

V. Phone/Fax

Practice location:
  • Phone: 401-732-5656
  • Fax: 401-738-8634
Mailing address:
  • Phone: 401-732-5656
  • Fax: 401-738-8634

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number49
License Number StateRI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: