Active NPIIndividual provider

Mary B Tavares, LICSW

Social Worker, Clinical in Bristol, Rhode Island

NPI Number1447750484
Practice location
B6 Bristol Woods Dr, Bristol, RI 02809-2746
Fax
—
Last updated
February 16, 2018

Mary Beth Tavares is a Social Worker, Clinical based in Bristol, RI. Mary Beth Tavares practices in Bristol, RI and has the professional credentials of LICSW. The NPI Number for Mary Beth Tavares is 1447750484 and holds a License No. 119357 (MA). The current practice location address for Mary Beth Tavares is B6 Bristol Woods Dr, Bristol, RI 02809-2746 and can be reached out via phone at 401-573-8168.

Provider Profile Details

NPI Number
1447750484
Provider Name
Mary Beth Tavares
Credential
LICSW
Provider Entity Type
Individual
Gender
Female
Address
B6 Bristol Woods Dr, Bristol, RI 02809-2746
Phone Number
401-573-8168
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
No
Provider Enumeration Date
February 16, 2018
Last Update Date
February 16, 2018
NPI Status
Active

Provider Business Practice Location Address Details

Address
B6 Bristol Woods Dr
Bristol, RI 02809-2746
Zip
02809-2746
Phone Number
401-573-8168
Bristol, RI 02809Get directions →

Provider Business Mailing Address Details

Address
B6 Bristol Woods Dr
Bristol, RI 02809-2746
City
Bristol
State
RI
Zip
02809-2746
Phone Number
401-573-8168

License Information

License Number
119357
License State
MA
Taxonomy
Social Worker, Clinical · 1041C0700X · Primary

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 Mary B Tavares, LICSW?

The NPI number of Mary B Tavares, LICSW is 1447750484. It was assigned on February 16, 2018 and is currently active in the NPPES registry.

What is the specialty of Mary B Tavares, LICSW?

Mary B Tavares, LICSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in MA under license number 119357.

Where does Mary B Tavares, LICSW practice?

The practice location is B6 Bristol Woods Dr, Bristol, RI 02809-2746. The office can be reached at 401-573-8168 (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 1447750484 directly on the NPPES registry website.

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