Healthcare Provider Details

I. General information

NPI: 1013128784
Provider Name (Legal Business Name): CONNECTINGFORCHILDRENANDFAMILIES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/24/2007
Last Update Date: 08/08/2023
Certification Date: 08/08/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

46 HOPE ST
WOONSOCKET RI
02895-4210
US

IV. Provider business mailing address

46 HOPE ST
WOONSOCKET RI
02895-4210
US

V. Phone/Fax

Practice location:
  • Phone: 401-766-3384
  • Fax: 401-762-2324
Mailing address:
  • Phone: 401-766-3384
  • Fax: 401-762-2324

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code172V00000X
TaxonomyCommunity Health Worker
License Number
License Number StateNULL
# 2
Primary TaxonomyY
Taxonomy Code252Y00000X
TaxonomyEarly Intervention Provider Agency
License Number
License Number StateNULL
# 3
Primary TaxonomyN
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number StateNULL
# 4
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number StateNULL

VIII. Authorized Official

Name: DENISE SHAVERS
Title or Position: DIRECTOR
Credential:
Phone: 401-766-3384