Provider Demographics
NPI:1083852446
Name:RICE, ALICE HIGGINS (LICSW)
Entity type:Individual
Prefix:
First Name:ALICE
Middle Name:HIGGINS
Last Name:RICE
Suffix:
Gender:F
Credentials:LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15 W RIVER RD
Mailing Address - Street 2:
Mailing Address - City:MARION
Mailing Address - State:MA
Mailing Address - Zip Code:02738-1161
Mailing Address - Country:US
Mailing Address - Phone:508-748-0080
Mailing Address - Fax:508-758-4391
Practice Address - Street 1:15 W RIVER RD
Practice Address - Street 2:
Practice Address - City:MARION
Practice Address - State:MA
Practice Address - Zip Code:02738-1161
Practice Address - Country:US
Practice Address - Phone:508-748-0080
Practice Address - Fax:508-758-4391
Is Sole Proprietor?:Yes
Enumeration Date:2009-01-23
Last Update Date:2014-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1140691041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical