Provider Demographics
NPI:1740054840
Name:CHOINIERE, BENJAMINE LOUISE (MSW)
Entity type:Individual
Prefix:
First Name:BENJAMINE
Middle Name:LOUISE
Last Name:CHOINIERE
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:BENJAMIN
Other - Middle Name:LEWIS
Other - Last Name:CHOINIERE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MSW
Mailing Address - Street 1:225 WILSON AVE
Mailing Address - Street 2:
Mailing Address - City:RUMFORD
Mailing Address - State:RI
Mailing Address - Zip Code:02916-2323
Mailing Address - Country:US
Mailing Address - Phone:401-699-1063
Mailing Address - Fax:
Practice Address - Street 1:225 WILSON AVE
Practice Address - Street 2:
Practice Address - City:RUMFORD
Practice Address - State:RI
Practice Address - Zip Code:02916-2323
Practice Address - Country:US
Practice Address - Phone:401-699-1063
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-11-08
Last Update Date:2023-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RICSW027061041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical