Provider Demographics
NPI:1609907708
Name:BERROL, ARLENE H (MSW)
Entity Type:Individual
Prefix:MS
First Name:ARLENE
Middle Name:H
Last Name:BERROL
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:21 BEDFORD RD
Mailing Address - Street 2:
Mailing Address - City:PAWTUCKET
Mailing Address - State:RI
Mailing Address - Zip Code:02860-5113
Mailing Address - Country:US
Mailing Address - Phone:401-480-3461
Mailing Address - Fax:401-722-9686
Practice Address - Street 1:21 BEDFORD RD
Practice Address - Street 2:
Practice Address - City:PAWTUCKET
Practice Address - State:RI
Practice Address - Zip Code:02860-5113
Practice Address - Country:US
Practice Address - Phone:401-480-3461
Practice Address - Fax:401-722-9686
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-08
Last Update Date:2012-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIISW002801041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical