Provider Demographics
NPI:1992853675
Name:CIORLANO, PETER JAMES (LICSW)
Entity Type:Individual
Prefix:
First Name:PETER
Middle Name:JAMES
Last Name:CIORLANO
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 1:84 HARRIS ST
Mailing Address - Street 2:
Mailing Address - City:PAWTUCKET
Mailing Address - State:RI
Mailing Address - Zip Code:02861-1719
Mailing Address - Country:US
Mailing Address - Phone:401-475-5075
Mailing Address - Fax:401-365-1044
Practice Address - Street 1:84 HARRIS ST
Practice Address - Street 2:
Practice Address - City:PAWTUCKET
Practice Address - State:RI
Practice Address - Zip Code:02861-1719
Practice Address - Country:US
Practice Address - Phone:401-475-5075
Practice Address - Fax:401-365-1044
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RI007521041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical