Provider Demographics
NPI:1619458007
Name:ARRUDA, JAMES ALLAN (LICSW)
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:ALLAN
Last Name:ARRUDA
Suffix:
Gender:M
Credentials:LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1899 MERIDIAN ST
Mailing Address - Street 2:
Mailing Address - City:FALL RIVER
Mailing Address - State:MA
Mailing Address - Zip Code:02720-4699
Mailing Address - Country:US
Mailing Address - Phone:508-675-9811
Mailing Address - Fax:
Practice Address - Street 1:1899 MERIDIAN ST
Practice Address - Street 2:
Practice Address - City:FALL RIVER
Practice Address - State:MA
Practice Address - Zip Code:02720-4699
Practice Address - Country:US
Practice Address - Phone:508-675-9811
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-08-24
Last Update Date:2018-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1041S0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041S0200XBehavioral Health & Social Service ProvidersSocial WorkerSchool