Doctor Name: | KIMBERLY CATHERINE O'CONNELL |
NPI Number: | 1477841344 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MSW |
License Number: | CSW01160 |
Business Practice Address: | 63 Harmony Hill Rd Chepachet, RI - 028141429 |
Business Phone Number: | 4019490690 |
Business Fax Number: | 4019494412 |
Mailing Address: | 63 Harmony Hill Rd, CHEPACHET |
State: | RI |
Postal Code: | 028141429 |
Phone Number: | 4019490690 |
Fax Number: | 4019494412 |
NPI Enumeration Date: | 07/13/2011 |
NPI Last Update Date: | 07/13/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | CSW01160 |
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 |