Michael C Klein, MSW
Individual provider Active NPI Clinical Social Worker · Chepachet, RI
NPI 1205024239 · NPPES record last updated Oct 3, 2007
Key facts
- NPI
- 1205024239
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- ISW00446 (RI)
- Practice address
- 63 Harmony Hill Rd
C/O Harmony Hill School
Chepachet, RI 02814-1429 - Phone
- (401) 949-0690
- Fax
- (401) 949-2060
- NPI assigned
- Oct 3, 2007
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ISW00446 | RI | MD | Clinical Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | ISW00446 | RI | Yes |
Addresses
Primary practice location
63 Harmony Hill Rd
C/O Harmony Hill School
Chepachet, RI 02814-1429
Mailing address
63 Harmony Hill Rd
C/O Harmony Hill School
Chepachet, RI 02814-1429
Phone (401) 949-0690
Other providers in Chepachet, RI
- Heritage Podiatry, Inc.
- Walter J Hooper III
- Donald John Jackson
- Abby Jacobson
- Danielle Jacquart
- Carol E. Knight
- Lisa Marie Lamontagne
- Clayton D Lanphear III
- Linda Marie Mobriant
- Linda Montminy
All providers in Chepachet, 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 3, 2007. 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.