Kristine Dominique, LICSW
Social Worker, Clinical in Charlestown, Rhode Island
1386706521- Practice location
- 4705 Old Post RD, Charlestown, RI 02813-1819
- Phone
- 401-364-7705
- Fax
- 401-364-9104
- Last updated
- July 8, 2007
Kristine Dominique is a Social Worker, Clinical based in Charlestown, RI. Kristine Dominique practices in Charlestown, RI and has the professional credentials of LICSW. The NPI Number for Kristine Dominique is 1386706521 and holds a License No. ISW01753 (RI). The current practice location address for Kristine Dominique is 4705 Old Post RD, Charlestown, RI 02813-1819 and can be reached out via phone at 401-364-7705 and via fax at 401-364-9104.
Provider Profile Details
- NPI Number
- 1386706521
- Provider Name
- Kristine Dominique
- Credential
- LICSW
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 4705 Old Post RD, Charlestown, RI 02813-1819
- Phone Number
- 401-364-7705
- Fax Number
- 401-364-9104
- Primary Taxonomy
- Social Worker, Clinical · 1041C0700X
- Sole Proprietor
- No
- Provider Enumeration Date
- December 14, 2006
- Last Update Date
- July 8, 2007
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 4705 Old Post RD
Charlestown, RI 02813-1819 - City
- Charlestown
- State
- Rhode Island
- Zip
- 02813-1819
- Phone Number
- 401-364-7705
- Fax Number
- 401-364-9104
Provider Business Mailing Address Details
- Address
- Po Box 899
Charlestown, RI 02813-0899 - City
- Charlestown
- State
- RI
- Zip
- 02813-0899
- Phone Number
- 401-364-7705
- Fax Number
- 401-364-9104
License Information
- License Number
- ISW01753
- 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 Charlestown, RI
View all Social Worker, Clinical providers in Charlestown →- Aiswariya Shibu, LCSWSocial Worker, Clinical · NPI 1427916964
- Alison M Nolan, LICSWSocial Worker, Clinical · NPI 1992576011
- Amanda Louzon, LCSWSocial Worker, Clinical · NPI 1568255438
- Atasha V Sharp, LCSWSocial Worker, Clinical · NPI 1447376009
- Craig W Gaspard, LICSWSocial Worker, Clinical · NPI 1366641417
- Diane Houston, LICSWSocial Worker, Clinical · NPI 1699824748
Frequently Asked Questions
What is the NPI number of Kristine Dominique, LICSW?
The NPI number of Kristine Dominique, LICSW is 1386706521. It was assigned on December 14, 2006 and is currently active in the NPPES registry.
What is the specialty of Kristine Dominique, LICSW?
Kristine Dominique, LICSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in RI under license number ISW01753.
Where does Kristine Dominique, LICSW practice?
The practice location is 4705 Old Post RD, Charlestown, RI 02813-1819. The office can be reached at 401-364-7705 (phone) or 401-364-9104 (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 1386706521 directly on the NPPES registry website.