Provider Demographics
NPI:1194940437
Name:CHILD & FAMILY SERVICES OF NEWPORT COUNTY
Entity type:Organization
Organization Name:CHILD & FAMILY SERVICES OF NEWPORT COUNTY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:PETER
Authorized Official - Middle Name:
Authorized Official - Last Name:DIBARI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:401-849-2300
Mailing Address - Street 1:24 SCHOOL ST
Mailing Address - Street 2:
Mailing Address - City:NEWPORT
Mailing Address - State:RI
Mailing Address - Zip Code:02840-3144
Mailing Address - Country:US
Mailing Address - Phone:401-849-2300
Mailing Address - Fax:401-848-4156
Practice Address - Street 1:24 SCHOOL ST
Practice Address - Street 2:
Practice Address - City:NEWPORT
Practice Address - State:RI
Practice Address - Zip Code:02840-3144
Practice Address - Country:US
Practice Address - Phone:401-849-2300
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-13
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIISW006331041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty