Individual
MS. KATHRYN B EDEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW LICSW
Contact information
Practice address
1 RICHMOND SQ STE 128C, PROVIDENCE, RI 02906-5140
(401) 548-8733
Mailing address
159 BAY STATE RD, REHOBOTH, MA 02769-1738
(401) 301-2006
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
1021862
MA
1041C0700X
Clinical Social Worker
108014
CA
1041C0700X
Clinical Social Worker
Primary
15W01525
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
32118-9
BCBSRI
RI
01
—
413914
BLUE CHIP
RI
01
—
62-75119
UNITED BEHAVIOR HEALTH
RI
05
—
KE54562
—
RI
Enumeration date
02/08/2006
Last updated
06/12/2025
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