Dixon-Standard, Mary Katherine

Dixon-Standard, Mary Katherine is an individual health care provider with primary practice located at 2020 Elmwood Ave , Warwick RI 02888-2404. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Dixon-Standard, Mary Katherine can be contacted via phone (401) 781-2700.

Contact Information

Primary practice address
2020 Elmwood Ave Warwick RI 02888-2404
Phone: (401) 781-2700
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X ISW01404 Rhode Island
Behavioral Health & Social Service Providers / Mental Health 101YM0800X ISW01464 Rhode Island
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X ISW01464 Rhode Island
Behavioral Health & Social Service Providers / Clinical 1041C0700X ISW01464 Rhode Island

Profile Details

NPI number 1912100710
LBN Legal business name Dixon-Standard, Mary Katherine
Credentials MSW, LICSW
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 8th, 2007
Last updated Nov 26th, 2013 - about 11 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 1912100710 NPPES
Rhode Island MEDICAID 4201380

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