Individual
KIMBERLY M SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
215 TOLL GATE RD STE 104, WARWICK, RI 02886-4463
(401) 921-7290
(401) 921-6194
Mailing address
455 TOLL GATE RD, WARWICK, RI 02886-2759
(401) 273-0641
(401) 273-2919
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
110679
MA
1041C0700X
Clinical Social Worker
Primary
ISW01888
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
KS78986
—
RI
Enumeration date
07/13/2007
Last updated
08/30/2024
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