Provider Demographics
NPI:1801828124
Name:DION ROY, JANETTE (LICSW)
Entity Type:Individual
Prefix:MS
First Name:JANETTE
Middle Name:
Last Name:DION ROY
Suffix:
Gender:F
Credentials:LICSW
Other - Prefix:
Other - First Name:JANETTE
Other - Middle Name:
Other - Last Name:FONTES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:89 WILLIAM HENRY RD
Mailing Address - Street 2:
Mailing Address - City:NORTH SCITUATE
Mailing Address - State:RI
Mailing Address - Zip Code:02857-2040
Mailing Address - Country:US
Mailing Address - Phone:401-714-3417
Mailing Address - Fax:
Practice Address - Street 1:117 EDDIE DOWLING HWY UNIT 2A
Practice Address - Street 2:
Practice Address - City:NORTH SMITHFIELD
Practice Address - State:RI
Practice Address - Zip Code:02896-7337
Practice Address - Country:US
Practice Address - Phone:401-714-3417
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-07
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIISW01494104100000X, 1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No104100000XBehavioral Health & Social Service ProvidersSocial Worker
Provider Identifiers
StateIdentifier IDID TypeIssuer
RI413336OtherBLUE CROSS BLUE CHIP
RI1801828124OtherUNITED BEHAVIORAL HEALTH
RI31230-1OtherBLUE CROSS/BLUE SHIELD