Individual
KATHRYN ROUSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
65 VILLAGE SQUARE DR STE 302, SOUTH KINGSTOWN, RI 02879-2292
(401) 785-0040
Mailing address
65 VILLAGE SQUARE DR STE 302, SOUTH KINGSTOWN, RI 02879-2569
(401) 785-0040
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW03284
RI
1041C0700X
Clinical Social Worker
Primary
ISW04747
RI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
09/12/2022
Last updated
01/22/2026
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