Provider Demographics
NPI:1942210075
Name:FLIKIER, HENRI (MSW ACSW)
Entity Type:Individual
Prefix:MR
First Name:HENRI
Middle Name:
Last Name:FLIKIER
Suffix:
Gender:M
Credentials:MSW ACSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:163 WATERMAN ST
Mailing Address - Street 2:
Mailing Address - City:PROVIDENCE
Mailing Address - State:RI
Mailing Address - Zip Code:02906-3109
Mailing Address - Country:US
Mailing Address - Phone:401-274-4004
Mailing Address - Fax:401-831-0661
Practice Address - Street 1:163 WATERMAN ST
Practice Address - Street 2:
Practice Address - City:PROVIDENCE
Practice Address - State:RI
Practice Address - Zip Code:02906-3109
Practice Address - Country:US
Practice Address - Phone:401-274-4004
Practice Address - Fax:401-831-0661
Is Sole Proprietor?:No
Enumeration Date:2006-08-09
Last Update Date:2014-11-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RI1SW000281041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
RI809009380Medicare ID - Type Unspecified