O'Brien, Lise

O'Brien, Lise is an individual health care provider with primary practice located at 55 Ferry Ln , Barrington RI 02806-4849. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. O'Brien, Lise can be contacted via phone (401) 245-7619.

Contact Information

Primary practice address
55 Ferry Ln Barrington RI 02806-4849
Phone: (401) 245-7619
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X ISW00248 Rhode Island

Profile Details

NPI number 1124144712
LBN Legal business name O'Brien, Lise
Credentials LICSW
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 22nd, 2007
Last updated Nov 23rd, 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 1124144712 NPPES
Rhode Island Other 0000030546 RI BLUE CROSS PROVIDER #
Rhode Island Other 406820 RI BLUE CROSS PROVIDER #
Rhode Island Other 62-08441 RI BLUE CROSS PROVIDER #
Rhode Island MEDICAID 7005619 RI BLUE CROSS PROVIDER #

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