Provider Demographics
NPI:1508385568
Name:CAMACHO-COLLIER, ROSALIE ANN (LICSW)
Entity type:Individual
Prefix:
First Name:ROSALIE
Middle Name:ANN
Last Name:CAMACHO-COLLIER
Suffix:
Gender:F
Credentials:LICSW
Other - Prefix:
Other - First Name:ROSALIE
Other - Middle Name:A
Other - Last Name:CAMACHO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LICSW
Mailing Address - Street 1:171 SERVICE AVE
Mailing Address - Street 2:
Mailing Address - City:WARWICK
Mailing Address - State:RI
Mailing Address - Zip Code:02886-1014
Mailing Address - Country:US
Mailing Address - Phone:401-318-8360
Mailing Address - Fax:401-453-7597
Practice Address - Street 1:171 SERVICE AVE FL 1
Practice Address - Street 2:
Practice Address - City:WARWICK
Practice Address - State:RI
Practice Address - Zip Code:02886-1014
Practice Address - Country:US
Practice Address - Phone:401-430-2000
Practice Address - Fax:401-453-7597
Is Sole Proprietor?:No
Enumeration Date:2017-09-11
Last Update Date:2025-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIISW029261041C0700X, 1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
CSW01846OtherCLINICAL SOCIAL WORKER: LICENSE NUMBER
RIISW02926OtherCLINICAL SOCIAL WORKER: LICENSE NUMBER