Provider Demographics
NPI:1295084663
Name:DALESSIO, BARBARA ANN (LCSW)
Entity type:Individual
Prefix:MR
First Name:BARBARA
Middle Name:ANN
Last Name:DALESSIO
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:203 CONCORD STREET
Mailing Address - Street 2:305
Mailing Address - City:PAWTUCKET
Mailing Address - State:RI
Mailing Address - Zip Code:02860
Mailing Address - Country:US
Mailing Address - Phone:401-365-6855
Mailing Address - Fax:401-365-6860
Practice Address - Street 1:203 CONCORD STREET
Practice Address - Street 2:305
Practice Address - City:PAWTUCKET
Practice Address - State:RI
Practice Address - Zip Code:02860
Practice Address - Country:US
Practice Address - Phone:401-365-6855
Practice Address - Fax:401-365-6860
Is Sole Proprietor?:No
Enumeration Date:2012-08-31
Last Update Date:2012-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RICSW011961041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical