Kristine Dominique in Charlestown - Clinical
Kristine Dominique - NPI 1386706521
Kristine Dominique is a Clinical in Charlestown, Rhode Island. Kristine Dominique practices all healthcare services and medical treatments related to Clinical. The NPI Number for Kristine Dominique is 1386706521. The last update date is 2007-07-08.
Kristine Dominique's current location address is Po Box 899, Charlestown, Rhode Island. You can contact this provider via phone number 4013647705 and fax number 4013649104. The mailing address for Kristine Dominique is Po Box 899, Charlestown, Rhode Island. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kristine Dominique |
|---|---|
| Address | Po Box 899, Charlestown, Rhode Island |
| Phone Number | 4013647705 |
| Fax Number | 4013649104 |
| Sole Proprietor | N |
| Credentials | LICSW |
NPI Number Detail
| NPI Number | 1386706521 |
|---|---|
| Provider Enumeration Date | 2006-12-14 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | Po Box 899 |
|---|---|
| City | Charlestown |
| State | Rhode Island (RI) |
| Post Code | 28130899 |
| Phone Number | 4013647705 |
| Fax Number | 4013649104 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | ISW01753 |
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Definition: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certif |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| KD50510 | RI | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Kristine Dominique by the Centers for Medicare & Medicaid Services?
The Kristine Dominique has been issued the NPI (National Provider Identifier) 1386706521, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Kristine Dominique is geographically located?
The Kristine Dominique is physically situated at the following location: Po Box 899, Charlestown, RI, 28130899.
What is Kristine Dominique's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Kristine Dominique is Clinical, and the taxonomy code that categorizes this field of expertise is 1041C0700X.
On what date did the Kristine Dominique receive its 1386706521 assignment from the Centers for Medicare & Medicaid Services?
The Kristine Dominique was assigned its 1386706521 by the Centers for Medicare & Medicaid Services on 2006-12-14.
As of what date were the Kristine Dominique's details last updated?
The information pertaining to the Kristine Dominique, including its address, specialty, and other details, was most recently updated on 2007-07-08.