Provider Demographics
NPI:1255344719
Name:GARRITY, FREDERICK JOSEPH (MSW)
Entity type:Individual
Prefix:MR
First Name:FREDERICK
Middle Name:JOSEPH
Last Name:GARRITY
Suffix:
Gender:M
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 MAYWOOD RD
Mailing Address - Street 2:
Mailing Address - City:BRISTOL
Mailing Address - State:RI
Mailing Address - Zip Code:02809-1602
Mailing Address - Country:US
Mailing Address - Phone:401-265-0035
Mailing Address - Fax:401-848-6016
Practice Address - Street 1:19 VALLEY RD
Practice Address - Street 2:
Practice Address - City:MIDDLETOWN
Practice Address - State:RI
Practice Address - Zip Code:02842-6306
Practice Address - Country:US
Practice Address - Phone:401-841-8896
Practice Address - Fax:401-848-6016
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIISW003251041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical