M. Raquel Kenyon is a Clinical in Providence, Rhode Island. M. Raquel Kenyon practices all healthcare services and medical treatments related to Clinical. The NPI Number for M. Raquel Kenyon is 1609819457. The last update date is 2009-03-30.
M. Raquel Kenyon's current location address is 530 N Main St, Providence, Rhode Island. You can contact this provider via phone number 4012742500. The mailing address for M. Raquel Kenyon is 530 N Main St, Providence, Rhode Island. To know further, please read the information below!
Provider Profile Detail
| Provider Name | M. Raquel Kenyon |
|---|---|
| Address | 530 N Main St, Providence, Rhode Island |
| Phone Number | 4012742500 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | LICSW |
NPI Number Detail
| NPI Number | 1609819457 |
|---|---|
| Provider Enumeration Date | 2006-06-13 |
| Last Updated Date | 2009-03-30 |
Provider Mailing Address Detail
| Address | 530 N Main St |
|---|---|
| City | Providence |
| State | Rhode Island (RI) |
| Post Code | 29045762 |
| Phone Number | 4012742500 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | ISW01957 |
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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 |
|---|---|---|---|
| MK51540 | RI | -- | |
| 1609819457 | RI | UBH | |
| 1104847946 | RI | THE PROVIDENCE CENTER NPI |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to M. Raquel Kenyon by the Centers for Medicare & Medicaid Services?
The M. Raquel Kenyon has been issued the NPI (National Provider Identifier) 1609819457 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please provide the complete physical location address of M. Raquel Kenyon?
The M. Raquel Kenyon is physically situated at 530 N Main St, in the city of Providence, state of RI, with the postal code 29045762.
What is the area of specialization for M. Raquel Kenyon, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for M. Raquel Kenyon is Clinical, and the corresponding taxonomy code that categorizes this area of expertise is 1041C0700X.
When did the M. Raquel Kenyon receive its 1609819457?
The M. Raquel Kenyon was issued its 1609819457 on 2006-06-13, which is the date when the organization was assigned this unique identifier.
As of what date were the M. Raquel Kenyon's details last updated?
The information pertaining to the M. Raquel Kenyon, including its address, specialty, and other details, was most recently updated on 2009-03-30.
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