Provider Demographics
NPI:1306382932
Name:DIORIO, MARCIE E (LICSW)
Entity Type:Individual
Prefix:
First Name:MARCIE
Middle Name:E
Last Name:DIORIO
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 1:1126 HARTFORD AVENUE
Mailing Address - Street 2:
Mailing Address - City:JOHNSTON
Mailing Address - State:RI
Mailing Address - Zip Code:02919
Mailing Address - Country:US
Mailing Address - Phone:401-519-1940
Mailing Address - Fax:401-351-6611
Practice Address - Street 1:1126 HARTFORD AVENUE TRI-COUNTY COMMUNITY ACTION AGENCY
Practice Address - Street 2:
Practice Address - City:JOHNSTON
Practice Address - State:RI
Practice Address - Zip Code:02919
Practice Address - Country:US
Practice Address - Phone:401-519-1940
Practice Address - Fax:401-351-6611
Is Sole Proprietor?:No
Enumeration Date:2017-01-06
Last Update Date:2018-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RICSW018271041C0700X
RIISW028391041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical