Provider Demographics
NPI:1376229138
Name:SMITH, ARIANNE (LICSW, C-SWG)
Entity type:Individual
Prefix:
First Name:ARIANNE
Middle Name:
Last Name:SMITH
Suffix:
Gender:F
Credentials:LICSW, C-SWG
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 113987
Mailing Address - Street 2:
Mailing Address - City:NORTH PROVIDENCE
Mailing Address - State:RI
Mailing Address - Zip Code:02911-0187
Mailing Address - Country:US
Mailing Address - Phone:401-349-4269
Mailing Address - Fax:
Practice Address - Street 1:973 GREENVILLE AVE STE 1
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:RI
Practice Address - Zip Code:02828-2700
Practice Address - Country:US
Practice Address - Phone:401-349-4269
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-06-26
Last Update Date:2024-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical