Provider Demographics
NPI:1558884759
Name:PLYNTON, SHEHERAZADE RITCHIE (LICSW)
Entity Type:Individual
Prefix:
First Name:SHEHERAZADE
Middle Name:RITCHIE
Last Name:PLYNTON
Suffix:
Gender:F
Credentials:LICSW
Other - Prefix:MRS
Other - First Name:SHARA
Other - Middle Name:
Other - Last Name:RITCHIE PLYNTON
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LICSW
Mailing Address - Street 1:278 LAFAYETTE ST
Mailing Address - Street 2:
Mailing Address - City:PAWTUCKET
Mailing Address - State:RI
Mailing Address - Zip Code:02860-6016
Mailing Address - Country:US
Mailing Address - Phone:401-523-1497
Mailing Address - Fax:
Practice Address - Street 1:1035 POST RD
Practice Address - Street 2:
Practice Address - City:WARWICK
Practice Address - State:RI
Practice Address - Zip Code:02888-3363
Practice Address - Country:US
Practice Address - Phone:401-785-0040
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-07-19
Last Update Date:2017-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIISW011811041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical