| Martha Dempster, Licsw, Llc | |
|
1130 Ten Rod Rd Suite D-104 North Kingstown RI 02852-4180 | |
| (401) 935-9784 | |
| (401) 295-5552 |
| Full Name | Martha Dempster, Licsw, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1130 Ten Rod Rd, North Kingstown, Rhode Island |
| Authorized Official Name and Position | Martha Dempster (OWNER) |
| Authorized Official Contact | 4019359784 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Martha Dempster, Licsw, Llc 1130 Ten Rod Rd Suite D-104 North Kingstown RI 02852-4180 Ph: (401) 935-9784 | Martha Dempster, Licsw, Llc 1130 Ten Rod Rd Suite D-104 North Kingstown RI 02852-4180 Ph: (401) 935-9784 |
| NPI Number | 1073666913 |
|---|---|
| Provider Enumeration Date | 01/22/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073666913 | NPI | - | NPPES |
| 301257 | Other | RI | BLUE CROSS BLUE SHIELD |
| 1037150 | Other | RI | NEIGHBORHOOD HEALTH PLAN |
| 409249 | Other | RI | BLUE CHIP |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | ISW01537 (Rhode Island) | Primary |
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