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Contact Information

MARISSA R FORD, LICSW
7 AUSTIN AVE
GREENVILLE, RI02828-1520
 Phone: 401-349-3131
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

1041C0700X 80 Licensed Clinical Social Worker
 

Early Intervention Provider Agency

252Y00000X
Indicates primary specialty

NPI Profile & details for MARISSA R FORD · (Female)

NPI # 1720423783
Status Active
Credentials LICSW (Licensed Independent Clinical Social Worker)
Entity Individual
Enumeration date 05/03/2013
Last updated 08/29/2024 - More than a year ago
Sole proprietor 1 Yes
Identifiers
  • RI License # ISW03654
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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