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
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #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 16 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 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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