Provider Demographics
NPI:1942239553
Name:ARCANGELI, THOMAS P (LICSW)
Entity type:Individual
Prefix:
First Name:THOMAS
Middle Name:P
Last Name:ARCANGELI
Suffix:
Gender:M
Credentials:LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:55 CHERRY LN
Mailing Address - Street 2:
Mailing Address - City:WAKEFIELD
Mailing Address - State:RI
Mailing Address - Zip Code:02879-3617
Mailing Address - Country:US
Mailing Address - Phone:401-364-7705
Mailing Address - Fax:401-364-9104
Practice Address - Street 1:55 CHERRY LN
Practice Address - Street 2:
Practice Address - City:WAKEFIELD
Practice Address - State:RI
Practice Address - Zip Code:02879-3617
Practice Address - Country:US
Practice Address - Phone:401-789-1367
Practice Address - Fax:401-364-9104
Is Sole Proprietor?:No
Enumeration Date:2006-07-03
Last Update Date:2015-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIISW008141041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
RI1020890OtherBEACON/NHP
RI403107OtherRI BLUE CHIP
RI1942239553Medicaid
RI30621-6OtherRI BLUE CROSS/BLUE SHIELD
RI22771OtherMHN
RITA31802Medicaid
RI030725OtherMHN
RI2373171OtherCIGNA
RI62-47999OtherUNITED BEHAVIORAL HEALTH
RI30621-6OtherRI BLUE CROSS/BLUE SHIELD