Prideaux, Caren

Prideaux, Caren is an individual health care provider with primary practice located at 176 Summit St , East Providence RI 02914-4422. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Prideaux, Caren can be contacted via phone (401) 569-7786.

Contact Information

Primary practice address
176 Summit St East Providence RI 02914-4422
Phone: (401) 569-7786
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X ISW01679 Rhode Island

Profile Details

NPI number 1477590826
LBN Legal business name Prideaux, Caren
Credentials LICSW
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 1st, 2006
Last updated Oct 23rd, 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 1477590826 NPPES
Rhode Island Other 30983-3 BLUE CROSS
Rhode Island Other 62-47773 BLUE CROSS
Rhode Island MEDICAID CP58572 BLUE CROSS
Rhode Island Other 413122 BLUE CROSS

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