Leclerc, Richard

Leclerc, Richard is an individual health care provider with primary practice located at 249 Roosevelt Ave Suite 205, Pawtucket RI 02860-2134. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Leclerc, Richard can be contacted via phone (401) 724-8400.

Contact Information

Primary practice address
249 Roosevelt Ave Suite 205 Pawtucket RI 02860-2134
Fax: (401) 365-1100
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X ISW00449 Rhode Island

Profile Details

NPI number 1851484984
LBN Legal business name Leclerc, Richard
Credentials LICSW
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 2nd, 2006
Last updated Jul 8th, 2007 - about 19 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 1851484984 NPPES
Rhode Island Other 30343-9 BLUE CROSS

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