Provider Demographics
NPI:1982414488
Name:DUVERSEAU, SYLVIE (LCSW)
Entity type:Individual
Prefix:
First Name:SYLVIE
Middle Name:
Last Name:DUVERSEAU
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:SYLVIE
Other - Middle Name:
Other - Last Name:DUVERSEAU-ALEXIS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCSW
Mailing Address - Street 1:12 LONGFELLOW ST
Mailing Address - Street 2:
Mailing Address - City:PAWTUCKET
Mailing Address - State:RI
Mailing Address - Zip Code:02861-1040
Mailing Address - Country:US
Mailing Address - Phone:401-757-0282
Mailing Address - Fax:
Practice Address - Street 1:12 LONGFELLOW ST
Practice Address - Street 2:
Practice Address - City:PAWTUCKET
Practice Address - State:RI
Practice Address - Zip Code:02861-1040
Practice Address - Country:US
Practice Address - Phone:401-649-3122
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-01-08
Last Update Date:2025-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RICSW034851041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical