Doctor Name: | KELLY M RICHMAN |
NPI Number: | 1023164985 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LICSW |
License Number: | CSW01032 |
Business Practice Address: | 17 Ashton Pkwy Suite 201 Cumberland, RI - 028644827 |
Business Phone Number: | 4015788495 |
Business Fax Number: | 4019215493 |
Mailing Address: | 10 East St, Unit 115 CRANSTON |
State: | RI |
Postal Code: | 029204469 |
Phone Number: | 4015788495 |
Fax Number: | 4019215493 |
NPI Enumeration Date: | 01/25/2007 |
NPI Last Update Date: | 09/30/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | CSW01032 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | RI |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |