Active NPIIndividual provider

Michaela M Perry, LICSW

Social Worker, Clinical in Charlestown, Rhode Island

NPI Number1457363749
Practice location
4705A Old Post Road, South Shore Mental Health Center, Charlestown, RI 02813-1819
Fax
401-364-9104
Last updated
January 5, 2009

Michaela M Perry is a Social Worker, Clinical based in Charlestown, RI. Michaela M Perry practices in Charlestown, RI and has the professional credentials of LICSW. The NPI Number for Michaela M Perry is 1457363749 and holds a License No. LC4248 (ME). The current practice location address for Michaela M Perry is 4705A Old Post Road, South Shore Mental Health Center, Charlestown, RI 02813-1819 and can be reached out via phone at 401-364-7705 and via fax at 401-364-9104.

Provider Profile Details

NPI Number
1457363749
Provider Name
Michaela M Perry
Credential
LICSW
Provider Entity Type
Individual
Gender
Female
Address
4705A Old Post Road, South Shore Mental Health Center, Charlestown, RI 02813-1819
Phone Number
401-364-7705
Fax Number
401-364-9104
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
No
Provider Enumeration Date
August 13, 2006
Last Update Date
January 5, 2009
NPI Status
Active

Provider Business Practice Location Address Details

Address
4705A Old Post Road
South Shore Mental Health Center
Charlestown, RI 02813-1819
Zip
02813-1819
Phone Number
401-364-7705
Fax Number
401-364-9104
Charlestown, RI 02813Get directions →

Provider Business Mailing Address Details

Address
Po Box 899
Charlestown, RI 02813-0899
City
Charlestown
State
RI
Zip
02813-0899
Phone Number
401-364-7705
Fax Number
401-364-9104

License Information

License Number (1)
LC4248
License State (1)
ME
Taxonomy (1)
Social Worker, Clinical · 1041C0700X
License Number (2)
ISW01834
License State (2)
RI
Taxonomy (2)
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 Michaela M Perry, LICSW?

The NPI number of Michaela M Perry, LICSW is 1457363749. It was assigned on August 13, 2006 and is currently active in the NPPES registry.

What is the specialty of Michaela M Perry, LICSW?

Michaela M Perry, LICSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in ME under license number LC4248.

Where does Michaela M Perry, LICSW practice?

The practice location is 4705A Old Post Road, South Shore Mental Health Center, Charlestown, RI 02813-1819. The office can be reached at 401-364-7705 (phone) or 401-364-9104 (fax).

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 1457363749 directly on the NPPES registry website.

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