Individual
KIMBERLY A NEWBURY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
ISW01145
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1020890
BEACON
RI
01
—
30616-8
RI BLUE CROSS BLUE SHIELD
RI
01
—
341613
MHN/TRICARE
RI
01
—
408126
RI BLUE CHIP
RI
01
—
62-09370
UNITED BEHAVIORAL HEALTH
RI
05
—
KA09594
—
RI
Enumeration date
05/30/2006
Last updated
04/10/2013
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