Individual
MR. MICHAEL H KANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LICSW ACSW
Contact information
Practice address
277 WATERMAN STREET, PROVIDENCE, RI 02906
(401) 331-7777
(401) 751-6241
Mailing address
91 MOORLAND AVE, CRANSTON, RI 02905
(401) 954-1310
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LSW00242
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
251277
BLUE CROSS BLUE SHIELD
RI
01
—
400574
BLUE CHIP
RI
Enumeration date
12/28/2006
Last updated
07/08/2007
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