Active NPIIndividual providerSole proprietor

Ms. Ann Funicello, LICSW

Social Worker, Clinical in Coventry, Rhode Island

NPI Number1205112422
Practice location
54 Wood Cove Dr, Coventry, RI 02816-6606
Fax
—
Last updated
November 2, 2011

Ann Funicello is a Social Worker, Clinical based in Coventry, RI. Ann Funicello practices in Coventry, RI and has the professional credentials of LICSW. The NPI Number for Ann Funicello is 1205112422 and holds a License No. ISW0063 (RI). The current practice location address for Ann Funicello is 54 Wood Cove Dr, Coventry, RI 02816-6606 and can be reached out via phone at 401-822-0274.

Provider Profile Details

NPI Number
1205112422
Provider Name
Ann Funicello
Credential
LICSW
Provider Entity Type
Individual
Gender
Female
Address
54 Wood Cove Dr, Coventry, RI 02816-6606
Phone Number
401-822-0274
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
Yes
Provider Enumeration Date
November 2, 2011
Last Update Date
November 2, 2011
NPI Status
Active

Provider Business Practice Location Address Details

Address
54 Wood Cove Dr
Coventry, RI 02816-6606
Zip
02816-6606
Phone Number
401-822-0274
Coventry, RI 02816Get directions →

Provider Business Mailing Address Details

Address
54 Wood Cove Dr
Coventry, RI 02816-6606
City
Coventry
State
RI
Zip
02816-6606
Phone Number
401-822-0274

License Information

License Number (1)
ISW0063
License State (1)
RI
Taxonomy (1)
Social Worker, Clinical · 1041C0700X · Primary
License Number (2)
054450
License State (2)
RI
Taxonomy (2)
Social Worker, School · 1041S0200X

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Ms. Ann Funicello, LICSW?

The NPI number of Ms. Ann Funicello, LICSW is 1205112422. It was assigned on November 2, 2011 and is currently active in the NPPES registry.

What is the specialty of Ms. Ann Funicello, LICSW?

Ms. Ann Funicello, LICSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in RI under license number ISW0063.

Where does Ms. Ann Funicello, LICSW practice?

The practice location is 54 Wood Cove Dr, Coventry, RI 02816-6606. The office can be reached at 401-822-0274 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1205112422 directly on the NPPES registry website.

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