Katia E. Custer, LCSW, MSW
Social Worker, Clinical in Middletown, RI. Individual provider (NPI-1).
NPI number1003470147
StatusActive
Last updated in NPPESAug 10, 2022
Details
- NPI
- 1003470147
- Entity type
- Individual (NPI-1)
- Name
- Katia E. Custer
- Credential
- LCSW, MSW
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 24, 2019
- Certification date
- Aug 10, 2022
- Last updated
- Aug 10, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | CSW02800 | RI | Yes |
Practice location
42 Valley RdMiddletown, RI 02842-6400
Phone 401-236-1873
Mailing address
127 Johnny Cake Hill RdMiddletown, RI 02842-5674
Phone 401-236-1873
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