Healthcare Provider Details

I. General information

NPI: 1376824136
Provider Name (Legal Business Name): ROSEMARIE A. ABBRUZZESE, MSW, LICSW, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/06/2011
Last Update Date: 05/01/2026
Certification Date: 05/01/2026
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:
Mailing address:
  • Phone: 401-678-6515
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License NumberISW01436
License Number StateRI

VIII. Authorized Official

Name: ROSEMARIE A ABBRUZZESE
Title or Position: OWNER
Credential: LICSW
Phone: 401-678-6515