Provider Demographics
NPI:1104962935
Name:PARENTE, JOSEPH BARRY
Entity type:Individual
Prefix:MR
First Name:JOSEPH
Middle Name:BARRY
Last Name:PARENTE
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:69 METCALF ST
Mailing Address - Street 2:
Mailing Address - City:WARWICK
Mailing Address - State:RI
Mailing Address - Zip Code:02888-4801
Mailing Address - Country:US
Mailing Address - Phone:401-345-6031
Mailing Address - Fax:401-785-0682
Practice Address - Street 1:163 WATERMAN ST
Practice Address - Street 2:
Practice Address - City:PROVIDENCE
Practice Address - State:RI
Practice Address - Zip Code:02906-3109
Practice Address - Country:US
Practice Address - Phone:401-345-6031
Practice Address - Fax:401-785-0682
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIISW008981041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical