IndividualActive
Alexandra Thieman, LICSW
NPI 1225547193 · Clinical Social Worker · Providence, RI
Provider details
- NPI number
- 1225547193
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Credential
- LICSW
- Sex
- Female
- Sole proprietor
- Yes
- License
- ISW03793 (RI)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
- Clinical Social Worker1041C0700X
Behavioral Health & Social Service Providers
Practice location
520 Hope St
Providence, RI 02906-2532
Phone: (614) 572-6551
Approximate (ZIP-level) locationGet directions
Mailing address
520 Hope St
Providence, RI 02906-2532
Registry dates
- Enumerated
- 2017-09-23
- Last updated
- 2024-03-11
- Certified
- 2024-03-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.