Mary Louise Montminy-Danna, MSW, LICSW, PHD
Individual provider Active NPI Clinical Social Worker · Wakefield, RI
NPI 1730345679 · NPPES record last updated Jul 30, 2008
Key facts
- NPI
- 1730345679
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- ISW00448 (RI)
- Practice address
- 125 Legend Rock Rd
Wakefield, RI 02879-7708 - Phone
- (401) 783-6146
- NPI assigned
- Jul 30, 2008
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Philosophy
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | ISW00448 | RI | Yes |
Addresses
Primary practice location
125 Legend Rock Rd
Wakefield, RI 02879-7708
Mailing address
125 Legend Rock Rd
Wakefield, RI 02879-7708
Phone (401) 783-6146
Other providers in Wakefield, RI
- Ian Mitchell
- Cynthia T. Moffitt
- Rick Moffitt
- Crystal Moio
- Gretchen Lily Montie
- Lindsay Mook
- Moonstone Beach Rd Group Home
- Leslie Morales Oliver
- Patricia J Moreau
- Jill Moretti
All providers in Wakefield, RI · Clinical Social Worker in Rhode Island
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 30, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.