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:
Health care specialties
| Specialty | Code | License # | 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 19 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| 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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