Active NPIIndividual provider

Joesph A Eilertsen, MSW LICSW

Social Worker, Clinical in N Kingstown, Rhode Island

NPI Number1750448098
Practice location
1130 Ten Rod RD Ste E204, N Kingstown, RI 02852
Fax
401-295-7395
Last updated
July 8, 2007

Joesph Anders Eilertsen is a Social Worker, Clinical based in N Kingstown, RI. Joesph Anders Eilertsen practices in N Kingstown, RI and has the professional credentials of MSW LICSW. The NPI Number for Joesph Anders Eilertsen is 1750448098 and holds a License No. ISW00208 (RI). The current practice location address for Joesph Anders Eilertsen is 1130 Ten Rod RD Ste E204, N Kingstown, RI 02852 and can be reached out via phone at 401-294-9600 and via fax at 401-295-7395.

Provider Profile Details

NPI Number
1750448098
Provider Name
Joesph Anders Eilertsen
Credential
MSW LICSW
Provider Entity Type
Individual
Gender
Male
Address
1130 Ten Rod RD Ste E204, N Kingstown, RI 02852
Phone Number
401-294-9600
Fax Number
401-295-7395
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
No
Provider Enumeration Date
January 3, 2007
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
1130 Ten Rod RD Ste E204
N Kingstown, RI 02852
Zip
02852
Phone Number
401-294-9600
Fax Number
401-295-7395
N Kingstown, RI 02852Get directions →

Provider Business Mailing Address Details

Address
1130 Ten Rod RD Ste E204
N Kingstown, RI 02852
City
N Kingstown
State
RI
Zip
02852
Phone Number
401-294-9600
Fax Number
401-295-7395

License Information

License Number
ISW00208
License State
RI
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 Joesph A Eilertsen, MSW LICSW?

The NPI number of Joesph A Eilertsen, MSW LICSW is 1750448098. It was assigned on January 3, 2007 and is currently active in the NPPES registry.

What is the specialty of Joesph A Eilertsen, MSW LICSW?

Joesph A Eilertsen, MSW LICSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in RI under license number ISW00208.

Where does Joesph A Eilertsen, MSW LICSW practice?

The practice location is 1130 Ten Rod RD Ste E204, N Kingstown, RI 02852. The office can be reached at 401-294-9600 (phone) or 401-295-7395 (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 1750448098 directly on the NPPES registry website.

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