Basic Information
| Provider Information | |||||||||
| NPI: | 1104326446 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | ROBINSON | ||||||||
| FirstName: | KATE | ||||||||
| MiddleName: | W. | ||||||||
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| Credential: | LICSW | ||||||||
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| Mailing Information | |||||||||
| Address1: | 55 GROVE AVE | ||||||||
| Address2: | |||||||||
| City: | WARWICK | ||||||||
| State: | RI | ||||||||
| PostalCode: | 028895213 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3392356584 | ||||||||
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| Practice Location | |||||||||
| Address1: | 40 CANDACE ST | ||||||||
| Address2: | |||||||||
| City: | PROVIDENCE | ||||||||
| State: | RI | ||||||||
| PostalCode: | 029083747 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4014440550 | ||||||||
| FaxNumber: | 4014440425 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 02/13/2018 | ||||||||
| LastUpdateDate: | 10/06/2020 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 10/06/2020 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 1041C0700X | 120250 | MA | N | Behavioral Health & Social Service Providers | Social Worker | Clinical | 1041C0700X | ISW02953 | RI | Y | Behavioral Health & Social Service Providers | Social Worker | Clinical |
No ID Information.