Provider Demographics
NPI:1801026489
Name:MORIN, VIOLET C (LICSW)
Entity Type:Individual
Prefix:
First Name:VIOLET
Middle Name:C
Last Name:MORIN
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 1:16 SPRING DR
Mailing Address - Street 2:
Mailing Address - City:JOHNSTON
Mailing Address - State:RI
Mailing Address - Zip Code:02919-3028
Mailing Address - Country:US
Mailing Address - Phone:401-934-0536
Mailing Address - Fax:860-779-5856
Practice Address - Street 1:16 SPRING DR
Practice Address - Street 2:
Practice Address - City:JOHNSTON
Practice Address - State:RI
Practice Address - Zip Code:02919-3028
Practice Address - Country:US
Practice Address - Phone:401-934-0536
Practice Address - Fax:860-779-5856
Is Sole Proprietor?:Yes
Enumeration Date:2009-07-17
Last Update Date:2009-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RI276101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health