Individual provider · Type 1 NPI

Kimberly A. Waggoner, MSW

Clinical Social Worker · East Providence, RI

NPI number 1114954302 Active

Practice location

400 Massasoit Ave Ste 101
East Providence, RI 02914-2017

Fax (401) 432-1500

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XISW00879 (RI)

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 1114954302

Kimberly A. Waggoner, MSW's National Provider Identifier is 1114954302, issued on Jun 26, 2006. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in East Providence, RI. The record was last updated on Aug 28, 2021.