Provider Demographics
NPI:1265465454
Name:HARWOOD, PATRICIA BURNS (LICSW)
Entity Type:Individual
Prefix:
First Name:PATRICIA
Middle Name:BURNS
Last Name:HARWOOD
Suffix:
Gender:F
Credentials:LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:229 WATERMAN ST
Mailing Address - Street 2:JEWISH FAMILY SERVICE
Mailing Address - City:PROVIDENCE
Mailing Address - State:RI
Mailing Address - Zip Code:02906-5212
Mailing Address - Country:US
Mailing Address - Phone:401-331-1244
Mailing Address - Fax:401-331-5772
Practice Address - Street 1:229 WATERMAN ST
Practice Address - Street 2:JEWISH FAMILY SERVICE
Practice Address - City:PROVIDENCE
Practice Address - State:RI
Practice Address - Zip Code:02906-5212
Practice Address - Country:US
Practice Address - Phone:401-331-1244
Practice Address - Fax:401-331-5772
Is Sole Proprietor?:No
Enumeration Date:2006-07-09
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIISW012591041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical