Organization Active NPI

Waters Edge Therapy LLC

  • Clinical Social Worker
  • N Kingstown, RI
National Provider Identifier
1104433663
Registry record updated Jan 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
WATERS EDGE THERAPY LLC
Practice address
1130 Ten Rod Rd Ste F206
N Kingstown, RI 02852-4172
Phone
(508) 740-7205
Fax
(508) 484-9421
NPI assigned
Sep 29, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2026

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

Authorized official

Name
Christine Hedding
Title
Biller
Phone
(508) 740-7205

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

1130 Ten Rod Rd Ste F206
N Kingstown, RI 02852-4172

Mailing address

1130 Ten Rod Rd Ste F206
N Kingstown, RI 02852-4172
Phone (401) 267-2954

National Provider Directory

National Provider Directory

Locations

23 Brown St
Ste 107
North Kingstown, RI 02852

1130 Ten Rod Rd
Ste F206
North Kingstown, RI 02852
Phone (508) 399-1779

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1601337600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1769558400000",
    "number": "1104433663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1130 TEN ROD RD STE F206",
            "city": "N KINGSTOWN",
            "state": "RI",
            "postal_code": "028524172",
            "telephone_number": "401-267-2954",
            "fax_number": "508-484-9421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1130 TEN ROD RD STE F206",
            "city": "N KINGSTOWN",
            "state": "RI",
            "postal_code": "028524172",
            "telephone_number": "508-740-7205",
            "fax_number": "508-484-9421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WATERS EDGE THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-29",
        "last_updated": "2026-01-28",
        "certification_date": "2026-01-28",
        "status": "A",
        "authorized_official_last_name": "HEDDING",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_title_or_position": "BILLER",
        "authorized_official_telephone_number": "508-740-7205"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in N Kingstown, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2026; 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.