Provider Demographics
NPI:1447207717
Name:ARSENAULT, RONALD E (LICSW)
Entity Type:Individual
Prefix:MR
First Name:RONALD
Middle Name:E
Last Name:ARSENAULT
Suffix:
Gender:M
Credentials:LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3657 POST RD
Mailing Address - Street 2:
Mailing Address - City:WARWICK
Mailing Address - State:RI
Mailing Address - Zip Code:02886-7238
Mailing Address - Country:US
Mailing Address - Phone:401-738-1866
Mailing Address - Fax:
Practice Address - Street 1:3657 POST RD
Practice Address - Street 2:
Practice Address - City:WARWICK
Practice Address - State:RI
Practice Address - Zip Code:02886-7238
Practice Address - Country:US
Practice Address - Phone:401-738-1866
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIISW002021041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
RI9407-2OtherBLUE CROSS & BLUE SHIELD
RI408868OtherBLUE CHIP