Provider Demographics
NPI:1720173636
Name:RICE, HELEN (LICSW)
Entity type:Individual
Prefix:
First Name:HELEN
Middle Name:
Last Name:RICE
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 1:1 INDEPENDENCE DR
Mailing Address - Street 2:
Mailing Address - City:FOXBORO
Mailing Address - State:MA
Mailing Address - Zip Code:02035-2215
Mailing Address - Country:US
Mailing Address - Phone:508-543-8336
Mailing Address - Fax:
Practice Address - Street 1:40 MECHANIC ST
Practice Address - Street 2:
Practice Address - City:FOXBORO
Practice Address - State:MA
Practice Address - Zip Code:02035-2074
Practice Address - Country:US
Practice Address - Phone:508-543-8888
Practice Address - Fax:508-543-3692
Is Sole Proprietor?:No
Enumeration Date:2006-10-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA10166171041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAP04807Medicare ID - Type UnspecifiedMEDICARE