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Contact Information

KATHRYN E MCCULLOUGH, LCSW
825 CHALKSTONE AVE
PROVIDENCE, RI02908-4728
 Phone: 401-456-2000
 Fax: 401-456-6744
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Addiction (Substance Use Disorder)

101YA0400X
Indicates primary specialty

NPI Profile & details for KATHRYN E MCCULLOUGH · (Female)

NPI Number 1578014098
Status Active
Credentials LCSW (Licensed Clinical Social Worker)
Entity Individual
Enumeration date 10/19/2016
Last updated 10/19/2016 - About 10 years ago
Sole proprietor 1 Yes
Identifiers
  • RI License # CSW1628
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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