NPI 1003342940

Robert B Hagberg, LICSW

Practitioner Clinical Social Worker Providence, RI

Practice location

Address: 153 Summer St, Providence, RI 02903-4011
Phone: (401) 276-4300
Fax: (041) 331-3285

Registered specialties

Clinical Social Worker Primary

Behavioral Health & Social Service Providers Taxonomy 1041C0700X Licence ISW00659 (RI)

Other Social Worker providers in Rhode Island →

Registry record

NPI: 1003342940
Entity type: Individual
Sex (as registered): Male
NPI issued: 11 May 2017
Record last updated: 11 May 2017

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.