Provider Demographics
NPI:1467092569
Name:SUSAN D MORIN
Entity Type:Organization
Organization Name:SUSAN D MORIN
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SOLE PROPRIETOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:SUSAN
Authorized Official - Middle Name:D
Authorized Official - Last Name:MORIN
Authorized Official - Suffix:
Authorized Official - Credentials:LICSW
Authorized Official - Phone:401-766-4477
Mailing Address - Street 1:285 MAIN ST APT 1
Mailing Address - Street 2:
Mailing Address - City:WOONSOCKET
Mailing Address - State:RI
Mailing Address - Zip Code:02895-3100
Mailing Address - Country:US
Mailing Address - Phone:401-766-4477
Mailing Address - Fax:401-766-9499
Practice Address - Street 1:285 MAIN ST APT 1
Practice Address - Street 2:
Practice Address - City:WOONSOCKET
Practice Address - State:RI
Practice Address - Zip Code:02895-3100
Practice Address - Country:US
Practice Address - Phone:401-766-4477
Practice Address - Fax:401-766-9499
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-01-07
Last Update Date:2020-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty