Provider Demographics
NPI:1508041146
Name:ESPOSITO-HADFIELD, LOREN ANN (LICSW)
Entity Type:Individual
Prefix:MRS
First Name:LOREN
Middle Name:ANN
Last Name:ESPOSITO-HADFIELD
Suffix:
Gender:F
Credentials:LICSW
Other - Prefix:MRS
Other - First Name:LOREN
Other - Middle Name:
Other - Last Name:ESPOSITO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LICSW
Mailing Address - Street 1:1145 RESERVOIR AVE STE 302
Mailing Address - Street 2:
Mailing Address - City:CRANSTON
Mailing Address - State:RI
Mailing Address - Zip Code:02920-6000
Mailing Address - Country:US
Mailing Address - Phone:508-400-5328
Mailing Address - Fax:401-942-3400
Practice Address - Street 1:1145 RESERVOIR AVE STE 302
Practice Address - Street 2:
Practice Address - City:CRANSTON
Practice Address - State:RI
Practice Address - Zip Code:02920-6000
Practice Address - Country:US
Practice Address - Phone:508-400-5328
Practice Address - Fax:401-942-3400
Is Sole Proprietor?:No
Enumeration Date:2008-01-02
Last Update Date:2017-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIISW013231041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
RI1041C0700XMedicaid