Provider Demographics
NPI:1902678444
Name:CAROLINE GOJCZ LICSW LLC
Entity Type:Organization
Organization Name:CAROLINE GOJCZ LICSW LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL SOCIAL WORKER
Authorized Official - Prefix:
Authorized Official - First Name:CAROLINE
Authorized Official - Middle Name:
Authorized Official - Last Name:GOJCZ
Authorized Official - Suffix:
Authorized Official - Credentials:LICSW
Authorized Official - Phone:401-250-0079
Mailing Address - Street 1:18 MAPLE AVE # 265
Mailing Address - Street 2:
Mailing Address - City:BARRINGTON
Mailing Address - State:RI
Mailing Address - Zip Code:02806-3560
Mailing Address - Country:US
Mailing Address - Phone:401-250-0079
Mailing Address - Fax:
Practice Address - Street 1:396 JUNIPER ST
Practice Address - Street 2:
Practice Address - City:EAST PROVIDENCE
Practice Address - State:RI
Practice Address - Zip Code:02914-4972
Practice Address - Country:US
Practice Address - Phone:401-250-0079
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-10-27
Last Update Date:2023-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty