Provider Demographics
NPI:1902204936
Name:MURRIN, ROSE (LICSW)
Entity Type:Individual
Prefix:
First Name:ROSE
Middle Name:
Last Name:MURRIN
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 1:259 WATER ST
Mailing Address - Street 2:
Mailing Address - City:WARREN
Mailing Address - State:RI
Mailing Address - Zip Code:02885-3144
Mailing Address - Country:US
Mailing Address - Phone:401-331-1244
Mailing Address - Fax:401-331-5772
Practice Address - Street 1:259 WATER ST
Practice Address - Street 2:UNIT 1
Practice Address - City:WARREN
Practice Address - State:RI
Practice Address - Zip Code:02885-3131
Practice Address - Country:US
Practice Address - Phone:401-331-1244
Practice Address - Fax:401-331-5772
Is Sole Proprietor?:Yes
Enumeration Date:2014-12-08
Last Update Date:2021-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIISW023071041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical