Provider Demographics
NPI:1063935393
Name:SAUL, WILLIAM BROOKS (LICSW)
Entity type:Individual
Prefix:
First Name:WILLIAM
Middle Name:BROOKS
Last Name:SAUL
Suffix:
Gender:M
Credentials:LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:62 MARION AVE S
Mailing Address - Street 2:
Mailing Address - City:CRANSTON
Mailing Address - State:RI
Mailing Address - Zip Code:02905-3806
Mailing Address - Country:US
Mailing Address - Phone:508-469-0748
Mailing Address - Fax:
Practice Address - Street 1:16 E WASHINGTON ST STE 2
Practice Address - Street 2:
Practice Address - City:N ATTLEBORO
Practice Address - State:MA
Practice Address - Zip Code:02760-2384
Practice Address - Country:US
Practice Address - Phone:508-469-0748
Practice Address - Fax:508-557-0234
Is Sole Proprietor?:Yes
Enumeration Date:2017-07-19
Last Update Date:2021-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1226251041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical