Provider Demographics
NPI:1821024035
Name:JOLIN, RONALD (LICSW)
Entity Type:Individual
Prefix:
First Name:RONALD
Middle Name:
Last Name:JOLIN
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 1:1351 S COUNTY TRL
Mailing Address - Street 2:SUITE 210 BUILDING 2
Mailing Address - City:EAST GREENWICH
Mailing Address - State:RI
Mailing Address - Zip Code:02818-5079
Mailing Address - Country:US
Mailing Address - Phone:401-884-2008
Mailing Address - Fax:401-884-2075
Practice Address - Street 1:1351 S COUNTY TRL
Practice Address - Street 2:SUITE 210 BUILDING 2
Practice Address - City:EAST GREENWICH
Practice Address - State:RI
Practice Address - Zip Code:02818-5079
Practice Address - Country:US
Practice Address - Phone:401-884-2008
Practice Address - Fax:401-884-2075
Is Sole Proprietor?:No
Enumeration Date:2006-06-23
Last Update Date:2011-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIISW006881041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
RI107384OtherTUFTS HEALTH PLANS
RI050468084OtherUNITED HEATH PLANS
RI30030-8OtherBLUE CROSS & BLUE SHIELD
RI107384OtherTUFTS HEALTH PLANS