Katelynn E Tewksbury

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

ISW04519 Issued in RI

Practice address

1355 Wampanoag TRL Apt 314
Riverside, RI 02915-1026

Phone

(401) 952-3770

NPI assigned

Aug 15, 2025

Last updated

Aug 15, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1755216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755216000000",
    "number": "1033095856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1355 WAMPANOAG TRL APT 314",
            "city": "RIVERSIDE",
            "state": "RI",
            "postal_code": "029151026",
            "telephone_number": "401-952-3770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1355 WAMPANOAG TRL APT 314",
            "city": "RIVERSIDE",
            "state": "RI",
            "postal_code": "029151026",
            "telephone_number": "401-952-3770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TEWKSBURY",
        "first_name": "KATELYNN",
        "middle_name": "E",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-08-15",
        "last_updated": "2025-08-15",
        "certification_date": "2025-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "RI",
            "license": "ISW04519",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wendy Renee Taylor
• Freila Alejandra Tejeda
• Shannon Lindsay Terkell, M.D.
• Donald Testa Jr.
• Carolyn Tetreault, LCSW
• Matthew P Thadeio
• The Arc of Blackstone Valley
• The Arc of Blackstone Valley
• Katherine Baker Thomas, LICSW
• Valerie Thomas, M.D.

• Clinical Social Worker in Riverside, RI
• Providers in Riverside, RI by specialty
• Clinical Social Worker in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.