Catherine Lynn Brown – Clinical Social Worker

Key facts

NPI: 1013169192
Entity type: Individual (NPI type 1)
Primary specialty: Clinical Social Worker 1041C0700X
License: ISW01748 (RI)
Practice address: 610 Wampanoag TRL
Riverside, RI 02915-1504
Phone: (401) 431-9870
Fax: (401) 435-7486
NPI assigned: Oct 21, 2008
Sex: Female
Sole proprietor: Yes

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

The Providence Center Community/Behavioral Health Agency · Providence, RI · NPI 1134977598

NPD (past)
The Providence Center Inc Mental Health Clinic/Center (Including Community Mental Health Center) · Providence, RI · NPI 1104847946

NPD (past) CLINICAL

Medicare participation

Medicare fee-for-service enrollment: Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD): Yes

State licenses

License	State	Type	Specialty
ISW01748	RI	MD	Clinical Social Worker

Practice roles

Organization	Specialty	Status	New patients
The Providence Center Inc	Clinical	Past since Jan 21, 2013	Accepting new patients
The Providence Center		Past	Accepting new patients

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Clinical Social Worker	1041C0700X	ISW01748	RI	Yes

Addresses

Primary practice location

610 Wampanoag TRL
Riverside, RI 02915-1504

Mailing address

610 Wampanoag TRL
Riverside, RI 02915-1504
Phone (401) 431-9870

Other names

Catherine McConaghy Former name

Other providers in Riverside, RI

All providers in Riverside, RI · Clinical Social Worker in Rhode Island

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 21, 2008. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.