Active NPIIndividual provider

Kenzi Defaria, LICSW

Social Worker, Clinical in Lincoln, Rhode Island

NPI Number1972212363
Practice location
1992 Old Louisquisset Pike, Lincoln, RI 02865-4590
Fax
—
Last updated
November 15, 2022

Kenzi Defaria is a Social Worker, Clinical based in Lincoln, RI. Kenzi Defaria practices in Lincoln, RI and has the professional credentials of LICSW. The NPI Number for Kenzi Defaria is 1972212363 and holds a License No. ISW03687 (RI). The current practice location address for Kenzi Defaria is 1992 Old Louisquisset Pike, Lincoln, RI 02865-4590 and can be reached out via phone at 401-475-0653.

Provider Profile Details

NPI Number
1972212363
Provider Name
Kenzi Defaria
Credential
LICSW
Provider Entity Type
Individual
Gender
Female
Address
1992 Old Louisquisset Pike, Lincoln, RI 02865-4590
Phone Number
401-475-0653
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
No
Provider Enumeration Date
November 15, 2022
Last Update Date
November 15, 2022
Certification Date
November 15, 2022
NPI Status
Active

Provider Business Practice Location Address Details

Address
1992 Old Louisquisset Pike
Lincoln, RI 02865-4590
Zip
02865-4590
Phone Number
401-475-0653
Lincoln, RI 02865Get directions →

Provider Business Mailing Address Details

Address
1992 Old Louisquisset Pike
Lincoln, RI 02865-4590
City
Lincoln
State
RI
Zip
02865-4590
Phone Number
401-475-0653

License Information

License Number
ISW03687
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.

Other Social Worker, Clinical providers near Lincoln, RI

View all Social Worker, Clinical providers in Lincoln →

Frequently Asked Questions

What is the NPI number of Kenzi Defaria, LICSW?

The NPI number of Kenzi Defaria, LICSW is 1972212363. It was assigned on November 15, 2022 and is currently active in the NPPES registry.

What is the specialty of Kenzi Defaria, LICSW?

Kenzi Defaria, LICSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in RI under license number ISW03687.

Where does Kenzi Defaria, LICSW practice?

The practice location is 1992 Old Louisquisset Pike, Lincoln, RI 02865-4590. The office can be reached at 401-475-0653 (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 1972212363 directly on the NPPES registry website.

Browse related providers