Individual
KAYLA FARRELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
525 BRANCH AVE, PROVIDENCE, RI 02904-2287
(401) 400-1226
Mailing address
50 WILLIAMS AVE, EAST PROVIDENCE, RI 02914-3509
(401) 400-1226
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
CSW02415
RI
1041C0700X
Clinical Social Worker
Primary
ISW03855
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ISW0385
LICSW
RI
Enumeration date
08/27/2020
Last updated
11/30/2023
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