Provider Demographics
NPI:1386791481
Name:BYRNE, LIZABETH ANN (LICSW)
Entity type:Individual
Prefix:
First Name:LIZABETH
Middle Name:ANN
Last Name:BYRNE
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 1:2843 S COUNTY TRL
Mailing Address - Street 2:A3
Mailing Address - City:E GREENWICH
Mailing Address - State:RI
Mailing Address - Zip Code:02818-1728
Mailing Address - Country:US
Mailing Address - Phone:401-580-0604
Mailing Address - Fax:
Practice Address - Street 1:2843 S COUNTY TRL
Practice Address - Street 2:A3
Practice Address - City:E GREENWICH
Practice Address - State:RI
Practice Address - Zip Code:02818-1728
Practice Address - Country:US
Practice Address - Phone:401-580-0604
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ISW015181041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical