Active NPIIndividual providerSole proprietor

Susan M Killebrew, MSW

Social Worker, Clinical in Portsmouth, Rhode Island

NPI Number1760660773
Practice location
107 Clock Tower Square, Portsmouth, RI 02871
Fax
401-683-5415
Last updated
November 25, 2008

Susan Mandrachia Killebrew is a Social Worker, Clinical based in Portsmouth, RI. Susan Mandrachia Killebrew practices in Portsmouth, RI and has the professional credentials of MSW. The NPI Number for Susan Mandrachia Killebrew is 1760660773 and holds a License No. ISW00095 (RI). The current practice location address for Susan Mandrachia Killebrew is 107 Clock Tower Square, Portsmouth, RI 02871 and can be reached out via phone at 401-683-7600 and via fax at 401-683-5415.

Provider Profile Details

NPI Number
1760660773
Provider Name
Susan Mandrachia Killebrew
Credential
MSW
Provider Entity Type
Individual
Gender
Female
Address
107 Clock Tower Square, Portsmouth, RI 02871
Phone Number
401-683-7600
Fax Number
401-683-5415
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
Yes
Provider Enumeration Date
February 1, 2008
Last Update Date
November 25, 2008
NPI Status
Active

Provider Business Practice Location Address Details

Address
107 Clock Tower Square
Portsmouth, RI 02871
Zip
02871
Phone Number
401-683-7600
Fax Number
401-683-5415
Portsmouth, RI 02871Get directions →

Provider Business Mailing Address Details

Address
15 Clarke St
#1
Newport, RI 02840-3047
City
Newport
State
RI
Zip
02840-3047
Phone Number
401-847-4115
Fax Number
401-847-8737

License Information

License Number
ISW00095
License State
RI
Taxonomy
Social Worker, Clinical · 1041C0700X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Susan M Killebrew, MSW?

The NPI number of Susan M Killebrew, MSW is 1760660773. It was assigned on February 1, 2008 and is currently active in the NPPES registry.

What is the specialty of Susan M Killebrew, MSW?

Susan M Killebrew, MSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in RI under license number ISW00095.

Where does Susan M Killebrew, MSW practice?

The practice location is 107 Clock Tower Square, Portsmouth, RI 02871. The office can be reached at 401-683-7600 (phone) or 401-683-5415 (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 1760660773 directly on the NPPES registry website.

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