Active NPIIndividual provider

Mrs. Kelly M Desousa, MSW, LCSW

Social Worker in Providence, Rhode Island

NPI Number1962737437
Practice location
830 Chalkstone Ave, Providence, RI 02908-4734
Fax
—
Last updated
October 16, 2009

Kelly Martins Desousa is a Social Worker based in Providence, RI. Kelly Martins Desousa practices in Providence, RI and has the professional credentials of MSW, LCSW. The NPI Number for Kelly Martins Desousa is 1962737437 and holds a License No. 215696 (MA). The current practice location address for Kelly Martins Desousa is 830 Chalkstone Ave, Providence, RI 02908-4734 and can be reached out via phone at 401-273-7100.

Provider Profile Details

NPI Number
1962737437
Provider Name
Kelly Martins Desousa
Credential
MSW, LCSW
Provider Entity Type
Individual
Gender
Female
Address
830 Chalkstone Ave, Providence, RI 02908-4734
Phone Number
401-273-7100
Primary Taxonomy
Social Worker · 104100000X
Sole Proprietor
No
Provider Enumeration Date
October 16, 2009
Last Update Date
October 16, 2009
NPI Status
Active

Provider Business Practice Location Address Details

Address
830 Chalkstone Ave
Providence, RI 02908-4734
Zip
02908-4734
Phone Number
401-273-7100
Providence, RI 02908Get directions →

Provider Business Mailing Address Details

Address
591 Dickinson St
Fall River, MA 02721-4547
City
Fall River
State
MA
Zip
02721-4547
Phone Number
508-567-4672

License Information

License Number
215696
License State
MA
Taxonomy
Social Worker · 104100000X · 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 Mrs. Kelly M Desousa, MSW, LCSW?

The NPI number of Mrs. Kelly M Desousa, MSW, LCSW is 1962737437. It was assigned on October 16, 2009 and is currently active in the NPPES registry.

What is the specialty of Mrs. Kelly M Desousa, MSW, LCSW?

Mrs. Kelly M Desousa, MSW, LCSW is registered under the primary taxonomy Social Worker (code 104100000X), licensed in MA under license number 215696.

Where does Mrs. Kelly M Desousa, MSW, LCSW practice?

The practice location is 830 Chalkstone Ave, Providence, RI 02908-4734. The office can be reached at 401-273-7100 (phone).

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 1962737437 directly on the NPPES registry website.

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