Provider Demographics
NPI:1093816456
Name:ZANIOL, LAURA ROSE
Entity Type:Individual
Prefix:MRS
First Name:LAURA
Middle Name:ROSE
Last Name:ZANIOL
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2615 WARWICK AVE
Mailing Address - Street 2:
Mailing Address - City:WARWICK
Mailing Address - State:RI
Mailing Address - Zip Code:02889-4224
Mailing Address - Country:US
Mailing Address - Phone:401-739-3450
Mailing Address - Fax:401-732-8261
Practice Address - Street 1:2364 POST RD
Practice Address - Street 2:SUITE 202
Practice Address - City:WARWICK
Practice Address - State:RI
Practice Address - Zip Code:02886-2259
Practice Address - Country:US
Practice Address - Phone:401-921-5013
Practice Address - Fax:401-921-5014
Is Sole Proprietor?:No
Enumeration Date:2006-09-26
Last Update Date:2016-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIISW017471041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical