Eden, Kathryn B
Eden, Kathryn B is an sole proprietor health care provider with primary practice located at 1 Richmond Sq Ste 128C , Providence RI 02906-5140. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Eden, Kathryn B can be contacted via phone (401) 548-8733.Contact Information
Primary practice address
1 Richmond Sq Ste 128C
Providence RI 02906-5140
Phone: (401) 548-8733
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 1021862 | Massachusetts |
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 108014 | California |
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 15W01525 | Rhode Island |
Profile Details
| NPI number | 1649243981 |
|---|---|
| LBN Legal business name | Eden, Kathryn B |
| Credentials | MSW LICSW |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 8th, 2006 |
| Last updated | Jun 12th, 2025 - about last year |
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 | 1649243981 | NPPES |
| Rhode Island | MEDICAID | KE54562 | |
| Rhode Island | Other | 32118-9 | |
| Rhode Island | Other | 413914 | |
| Rhode Island | Other | 62-75119 |
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