Samantha Kane
Social Worker, Clinical in Providence, RI. Individual provider (NPI-1).
NPI number1801565643
StatusActive
Last updated in NPPESSep 20, 2022
Details
- NPI
- 1801565643
- Entity type
- Individual (NPI-1)
- Name
- Samantha Kane
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 7, 2021
- Certification date
- Aug 25, 2022
- Last updated
- Sep 20, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | CSW02827 | RI | Yes |
Practice location
1 Virginia AveProvidence, RI 02905-4443
Phone 401-553-1031
Mailing address
1 Virginia AveProvidence, RI 02905-4443
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