Enos, Christine L

Enos, Christine L is an individual health care provider with primary practice located at 610 Wampanoag Trl , East Providence RI 02915-1504. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Enos, Christine L can be contacted via phone (401) 431-9870.

Contact Information

Primary practice address
610 Wampanoag Trl East Providence RI 02915-1504
Phone: (401) 431-9870
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X ISW01257 Rhode Island

Profile Details

NPI number 1285611814
LBN Legal business name Enos, Christine L
Credentials LICSW
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 23rd, 2005
Last updated Oct 20th, 2009 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1285611814 NPPES
Rhode Island Other ISW01257 SOCIAL WORK LICENSE
Rhode Island Other 62-59567 SOCIAL WORK LICENSE
Rhode Island MEDICAID CA26320 SOCIAL WORK LICENSE
Rhode Island Other 30015-7 SOCIAL WORK LICENSE
Rhode Island Other 407210 SOCIAL WORK LICENSE

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