Stockwood, Alix
Stockwood, Alix is an individual health care provider with primary practice located at 100 Lafayette St Suite 103, Pawtucket RI 02860-6008. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Stockwood, Alix can be contacted via phone (401) 480-3434.Contact Information
Primary practice address
100 Lafayette St Suite 103
Pawtucket RI 02860-6008
Phone: (401) 480-3434
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | ISW00253 | Rhode Island |
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 1017953 | Massachusetts |
Profile Details
| NPI number | 1467411207 |
|---|---|
| LBN Legal business name | Stockwood, Alix |
| Credentials | LICSW |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 21st, 2006 |
| Last updated | Jun 27th, 2008 - about 17 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1467411207 | NPPES |
| Other | 1029030 | NHP/BEACON | |
| Other | 6230482 | NHP/BEACON | |
| MEDICAID | AS19612 | NHP/BEACON | |
| Other | 23622-9 | NHP/BEACON | |
| Other | 409254 | NHP/BEACON |
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