Provider Demographics
NPI:1982911715
Name:STANLEY, NEEKA S (LICSW)
Entity Type:Individual
Prefix:MS
First Name:NEEKA
Middle Name:S
Last Name:STANLEY
Suffix:
Gender:F
Credentials:LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:652 GEORGE WASHINGTON HWY UNIT 102
Mailing Address - Street 2:
Mailing Address - City:LINCOLN
Mailing Address - State:RI
Mailing Address - Zip Code:02865-4267
Mailing Address - Country:US
Mailing Address - Phone:401-475-9979
Mailing Address - Fax:
Practice Address - Street 1:652 GEORGE WASHINGTON HWY UNIT 102
Practice Address - Street 2:
Practice Address - City:LINCOLN
Practice Address - State:RI
Practice Address - Zip Code:02865-4267
Practice Address - Country:US
Practice Address - Phone:401-475-9979
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-08-31
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIISW017681041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical