Provider Demographics
NPI:1053487371
Name:KRIEGER, MARGARET(MARGE) ROONEY (LICSW)
Entity type:Individual
Prefix:MS
First Name:MARGARET(MARGE)
Middle Name:ROONEY
Last Name:KRIEGER
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 1:19 MELROSE AVE
Mailing Address - Street 2:
Mailing Address - City:BARRINGTON
Mailing Address - State:RI
Mailing Address - Zip Code:02806-4434
Mailing Address - Country:US
Mailing Address - Phone:401-245-3699
Mailing Address - Fax:401-245-3699
Practice Address - Street 1:310 MAPLE AVE
Practice Address - Street 2:
Practice Address - City:BARRINGTON
Practice Address - State:RI
Practice Address - Zip Code:02806-3430
Practice Address - Country:US
Practice Address - Phone:401-245-0700
Practice Address - Fax:401-245-3699
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIISW000651041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
RI21662-3OtherBLUE CROSS BLUE SHIELD
RI47850OtherBLUE CHIP