# KATHLEEN TRELOAR LICSW LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1811695059
- **Authorized official:** KATHLEEN TRELOAR LICSW (OWNER CLINICAL THERAPIST)
- **Authorized official phone:** (401) 419-7267

## Contact information

- **Practice address:** 1051 TEN ROD RD UNIT 5A, NORTH KINGSTOWN, RI 02852-4163
- **Practice address phone:** (401) 419-7267
- **Mailing address:** 1051 TEN ROD RD UNIT 5A, NORTH KINGSTOWN, RI 02852-4163
- **Mailing address phone:** (401) 419-7267

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1041C0700X | Clinical Social Worker | — | NULL | Yes |
| 1041C0700X | Clinical Social Worker | — | — | Yes |
| 261QM0850X | Adult Mental Health Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 02/17/2023
- **Last updated:** 08/11/2026
