Larry Thomas Baxter

Individual provider Active NPI Clinical Social Worker · Wakefield, RI

NPI 1730848151 · NPPES record last updated Dec 13, 2021

Key facts

NPI
1730848151
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Social Worker 1041C0700X
Practice address
35 S County Commons Way FL 2
Wakefield, RI 02879-8240
Phone
(415) 971-2246
Fax
(401) 208-0563
NPI assigned
Dec 13, 2021
Sex
Male
Sole proprietor
No

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

35 S County Commons Way FL 2
Wakefield, RI 02879-8240

Mailing address

35 S County Commons Way FL 2
Wakefield, RI 02879-8240

Other providers in Wakefield, RI

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

Sources for this page

Verify at the official NPI Registry.