Provider Demographics
NPI:1720205909
Name:ARMSTRONG, MEREDITH ELAINE (LICSW)
Entity Type:Individual
Prefix:MRS
First Name:MEREDITH
Middle Name:ELAINE
Last Name:ARMSTRONG
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 1:3 JOYCE DR
Mailing Address - Street 2:
Mailing Address - City:NORTH PROVIDENCE
Mailing Address - State:RI
Mailing Address - Zip Code:02911-1115
Mailing Address - Country:US
Mailing Address - Phone:401-231-4802
Mailing Address - Fax:
Practice Address - Street 1:3 JOYCE DR
Practice Address - Street 2:
Practice Address - City:NORTH PROVIDENCE
Practice Address - State:RI
Practice Address - Zip Code:02911-1115
Practice Address - Country:US
Practice Address - Phone:401-231-4802
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIISW018291041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical