Provider Demographics
NPI:1083911499
Name:SOWERS, ANITA MICHELLE (LCSW)
Entity type:Individual
Prefix:MS
First Name:ANITA
Middle Name:MICHELLE
Last Name:SOWERS
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9 RUSTIC WAY
Mailing Address - Street 2:P.O. BOX 76
Mailing Address - City:HOPE
Mailing Address - State:RI
Mailing Address - Zip Code:02831-1323
Mailing Address - Country:US
Mailing Address - Phone:401-821-7840
Mailing Address - Fax:
Practice Address - Street 1:607 PLEASANT ST
Practice Address - Street 2:SUITE 115
Practice Address - City:ATTLEBORO
Practice Address - State:MA
Practice Address - Zip Code:02703-2570
Practice Address - Country:US
Practice Address - Phone:508-223-4691
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-02-21
Last Update Date:2011-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RICSW012781041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical