Sean Joseph Lonergan, LCSW
Social Worker, Clinical in Providence, RI. Individual provider (NPI-1).
NPI number1497992002
StatusActive
Last updated in NPPESJan 20, 2009
Details
- NPI
- 1497992002
- Entity type
- Individual (NPI-1)
- Name
- Mr. Sean Joseph Lonergan
- Credential
- LCSW
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jan 20, 2009
- Last updated
- Jan 20, 2009
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 214360 | MA | Yes |
Practice location
830 Chalkstone AveProvidence, RI 02908-4734
Phone 401-273-7100
Mailing address
480 Metacom AveBristol, RI 02809-5119
Phone 401-273-7100
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