Provider Demographics
NPI:1033652417
Name:CASTANEDA, VERONICA (LCDP)
Entity type:Individual
Prefix:
First Name:VERONICA
Middle Name:
Last Name:CASTANEDA
Suffix:
Gender:F
Credentials:LCDP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:81 TRENTON ST
Mailing Address - Street 2:
Mailing Address - City:PAWTUCKET
Mailing Address - State:RI
Mailing Address - Zip Code:02860-5924
Mailing Address - Country:US
Mailing Address - Phone:401-516-3737
Mailing Address - Fax:
Practice Address - Street 1:174 ARMISTICE BLVD
Practice Address - Street 2:
Practice Address - City:PAWTUCKET
Practice Address - State:RI
Practice Address - Zip Code:02860-3280
Practice Address - Country:US
Practice Address - Phone:401-721-5330
Practice Address - Fax:401-383-1531
Is Sole Proprietor?:No
Enumeration Date:2016-12-02
Last Update Date:2025-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RICDP00923101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)