Provider Demographics
NPI:1710102884
Name:RANIERI, GAIL (LICSW)
Entity Type:Individual
Prefix:
First Name:GAIL
Middle Name:
Last Name:RANIERI
Suffix:
Gender:F
Credentials:LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:82 POND ST
Mailing Address - Street 2:
Mailing Address - City:PAWTUCKET
Mailing Address - State:RI
Mailing Address - Zip Code:02860-4462
Mailing Address - Country:US
Mailing Address - Phone:401-365-6103
Mailing Address - Fax:401-365-6123
Practice Address - Street 1:82 POND ST
Practice Address - Street 2:
Practice Address - City:PAWTUCKET
Practice Address - State:RI
Practice Address - Zip Code:02860-4462
Practice Address - Country:US
Practice Address - Phone:401-365-6103
Practice Address - Fax:401-365-6123
Is Sole Proprietor?:No
Enumeration Date:2007-04-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIISW013641041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
RIGH57134OtherGROUP NUMBER