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Kimberly A Waggoner, MSW
Clinical Social Worker in East Providence, Rhode Island
NPI 1114954302

Kimberly A Waggoner is a Clinical Social Worker based in East Providence, RI and is specialized in Clinical. Kimberly A Waggoner practices in East Providence, RI and has the professional credentials of MSW. The NPI Number for Kimberly A Waggoner is 1114954302 and holds a License No. ISW00879 (Rhode Island).

The current practice location address for Kimberly A Waggoner is 400 Massasoit Ave Ste 101, East Providence, RI and can be reached out via phone at 401-612-7693 and via fax at 401-432-1500. You can also correspond with Kimberly A Waggoner through the mailing address at 400 MASSASOIT AVE STE 101, EAST PROVIDENCE, RI - 02914-2017 (mailing address contact number: 401-612-7693).

Location: 400 Massasoit Ave Ste 101, East Providence, RI, 02914-2017
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Provider Profile Details
NPI Number
1114954302
Provider Name
Kimberly A Waggoner
Credential
MSW
Provider Entity Type
Individual
Gender
Female
Address
400 Massasoit Ave Ste 101, East Providence, RI, 02914-2017
Phone Number
401-612-7693
Fax Number
401-432-1500
Provider Enumeration Date
06/26/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
KW10798 05 RI
62-23076 01 RI UNITED BEHAVIORAL HEALTH
413014 01 RI BLUE CHIP
31025-9 01 RI BLUE CROSS
institution
Provider Business Practice Location Address Details
Address
400 Massasoit Ave Ste 101
City
State
Zip
02914-2017
Phone Number
401-612-7693
Fax Number
401-432-1500
person
Provider Business Mailing Address Details
Address
400 Massasoit Ave Ste 101
City
State
Zip
02914-2017
Phone Number
401-612-7693
Fax Number
401-432-1500
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Social Worker
Speciality
Clinical
Taxonomy
License No.
ISW00879 (Rhode Island)
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
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