Provider Demographics
NPI:1548325210
Name:WINSTEN, ADA (LICSW)
Entity type:Individual
Prefix:MRS
First Name:ADA
Middle Name:
Last Name:WINSTEN
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 1:33 BROOKWAY RD
Mailing Address - Street 2:
Mailing Address - City:PROVIDENCE
Mailing Address - State:RI
Mailing Address - Zip Code:02906-4860
Mailing Address - Country:US
Mailing Address - Phone:401-274-4717
Mailing Address - Fax:401-274-5742
Practice Address - Street 1:33 BROOKWAY RD
Practice Address - Street 2:
Practice Address - City:PROVIDENCE
Practice Address - State:RI
Practice Address - Zip Code:02906-4860
Practice Address - Country:US
Practice Address - Phone:401-274-4717
Practice Address - Fax:401-274-5742
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIISW004681041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAP50065OtherBC OF MA
RI6235331OtherUBH
RI9372-1OtherBC OF RI
RI406550OtherBLUE CHIP