Provider Demographics
NPI:1518019033
Name:LAMOUREUX, BARBARA (MSW)
Entity Type:Individual
Prefix:
First Name:BARBARA
Middle Name:
Last Name:LAMOUREUX
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:BARBARA
Other - Middle Name:
Other - Last Name:DECOSTA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MSW
Mailing Address - Street 1:500 RESERVOIR RD
Mailing Address - Street 2:
Mailing Address - City:CUMBERLAND
Mailing Address - State:RI
Mailing Address - Zip Code:02864-1652
Mailing Address - Country:US
Mailing Address - Phone:401-732-5656
Mailing Address - Fax:401-738-8634
Practice Address - Street 1:300 CENTERVILLE RD
Practice Address - Street 2:THE KENT CENTER
Practice Address - City:WARWICK
Practice Address - State:RI
Practice Address - Zip Code:02886-0200
Practice Address - Country:US
Practice Address - Phone:401-732-5656
Practice Address - Fax:401-738-8634
Is Sole Proprietor?:No
Enumeration Date:2007-01-17
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RI491041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
RIBD08576Medicaid