Chase, Kathleen Ann

Chase, Kathleen Ann is an individual health care provider with primary practice located at 103 Bacon St , Pawtucket RI 02860. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Chase, Kathleen Ann can be contacted via phone (401) 722-3560.

Contact Information

Primary practice address
103 Bacon St Pawtucket RI 02860
Phone: (401) 722-3560
Fax: (401) 722-3593
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X ISW01175 Rhode Island

Profile Details

NPI number 1437110921
LBN Legal business name Chase, Kathleen Ann
Credentials LICSW
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 1st, 2006
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1437110921 NPPES
Other 406936 BLUE CHIP
MEDICAID KB13099 BLUE CHIP
Other 6262761 BLUE CHIP
Other 300960 BLUE CHIP

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