Kimberly A Waggoner, MSW
Social Worker, Clinical in East Providence, Rhode Island
1114954302- Practice location
- 400 Massasoit Ave Ste 101, East Providence, RI 02914-2017
- Phone
- 401-612-7693
- Fax
- 401-432-1500
- Last updated
- August 28, 2021
Kimberly A Waggoner is a Social Worker, Clinical based in East Providence, RI. 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 (RI). The current practice location address for Kimberly A Waggoner is 400 Massasoit Ave Ste 101, East Providence, RI 02914-2017 and can be reached out via phone at 401-612-7693 and via fax at 401-432-1500.
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
- Primary Taxonomy
- Social Worker, Clinical · 1041C0700X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- June 26, 2006
- Last Update Date
- August 28, 2021
- Certification Date
- August 28, 2021
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 400 Massasoit Ave Ste 101
East Providence, RI 02914-2017 - City
- East Providence
- State
- Rhode Island
- Zip
- 02914-2017
- Phone Number
- 401-612-7693
- Fax Number
- 401-432-1500
Provider Business Mailing Address Details
- Address
- 400 Massasoit Ave Ste 101
East Providence, RI 02914-2017 - City
- East Providence
- State
- RI
- Zip
- 02914-2017
- Phone Number
- 401-612-7693
- Fax Number
- 401-432-1509
License Information
- License Number
- ISW00879
- License State
- RI
- Taxonomy
- Social Worker, Clinical · 1041C0700X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Social Worker, Clinical providers near East Providence, RI
View all Social Worker, Clinical providers in East Providence →- Adriana LagoaSocial Worker, Clinical · NPI 1952228827
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- Amy E Cousineau, MSWSocial Worker, Clinical · NPI 1891730651
- Andrew Leonard, LICSWSocial Worker, Clinical · NPI 1902413701
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Frequently Asked Questions
What is the NPI number of Kimberly A Waggoner, MSW?
The NPI number of Kimberly A Waggoner, MSW is 1114954302. It was assigned on June 26, 2006 and is currently active in the NPPES registry.
What is the specialty of Kimberly A Waggoner, MSW?
Kimberly A Waggoner, MSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in RI under license number ISW00879.
Where does Kimberly A Waggoner, MSW practice?
The practice location is 400 Massasoit Ave Ste 101, East Providence, RI 02914-2017. The office can be reached at 401-612-7693 (phone) or 401-432-1500 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1114954302 directly on the NPPES registry website.