Provider Demographics
NPI:1184685182
Name:SEIFERT, CAROLE (MA, LCDP)
Entity Type:Individual
Prefix:
First Name:CAROLE
Middle Name:
Last Name:SEIFERT
Suffix:
Gender:F
Credentials:MA, LCDP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:875 CENTERVILLE RD
Mailing Address - Street 2:SUITE 15
Mailing Address - City:WARWICK
Mailing Address - State:RI
Mailing Address - Zip Code:02886-4381
Mailing Address - Country:US
Mailing Address - Phone:401-615-8500
Mailing Address - Fax:401-615-8503
Practice Address - Street 1:875 CENTERVILLE RD
Practice Address - Street 2:SUITE 15
Practice Address - City:WARWICK
Practice Address - State:RI
Practice Address - Zip Code:02886-4381
Practice Address - Country:US
Practice Address - Phone:401-615-8500
Practice Address - Fax:401-615-8503
Is Sole Proprietor?:No
Enumeration Date:2006-03-29
Last Update Date:2008-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RILCDP00012101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)