Organization · Type 2 NPI

Waters Edge Therapy LLC

Clinical Social Worker · North Kingstown, RI

NPI number 1104433663 Active

Practice location

1130 Ten Rod Rd Ste F206
North Kingstown, RI 02852-4172

Fax (508) 484-9421

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XNone listed

Clinical Social Worker: 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, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpers…

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About NPI 1104433663

Waters Edge Therapy LLC's National Provider Identifier is 1104433663, issued on Sep 29, 2020. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in North Kingstown, RI. The record was last updated on Jan 28, 2026.