Provider Demographics
NPI:1821185778
Name:FOSTER, PAULA J (MSW)
Entity type:Individual
Prefix:
First Name:PAULA
Middle Name:J
Last Name:FOSTER
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:182 PLEASANT ST
Mailing Address - Street 2:
Mailing Address - City:WEYMOUTH
Mailing Address - State:MA
Mailing Address - Zip Code:02190-2541
Mailing Address - Country:US
Mailing Address - Phone:781-335-4053
Mailing Address - Fax:
Practice Address - Street 1:347 BROADWAY
Practice Address - Street 2:
Practice Address - City:PROVIDENCE
Practice Address - State:RI
Practice Address - Zip Code:02902-0001
Practice Address - Country:US
Practice Address - Phone:401-831-5313
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1054341041C0700X
RIISW005131041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
RI3148-8OtherBLUE CROSS BLUE SHIELD
RI1063520OtherBEACON HEALTH STRAT
RI411799OtherBLUE CHIP
043148493-06OtherPACIFCARE