Merlin Slade, LCSW

Individual provider Active NPI Clinical Social Worker · Greenville, RI

NPI 1669157103 · NPPES record last updated Jul 22, 2024

Key facts

NPI
1669157103
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Social Worker 1041C0700X
Practice address
111 W Greenville Rd
Greenville, RI 02828-1510
Phone
(401) 678-7079
NPI assigned
Jun 21, 2023
Sex
Male
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X Yes

Addresses

Primary practice location

111 W Greenville Rd
Greenville, RI 02828-1510

Mailing address

43 Gloucester St
Providence, RI 02908-1407
Phone (914) 621-1731

Other names

  • Madeleine Slade Former name

Other providers in Greenville, RI

All providers in Greenville, RI · Clinical Social Worker in Rhode Island

Sources for this page

Verify at the official NPI Registry.