Kathleen Pena, MSW, CGS, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

ISW03541 Issued in RI

Practice address

Guided Healing C/O the Seg Hub
10 Davol Square, Suite 100
Providence, RI 02903-4752

Phone

(401) 236-7226

Fax

(401) 223-4511

NPI assigned

Jun 27, 2019

Last updated

Jul 13, 2023By 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

Other names 1

• Ms. Kathleen Costa Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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

• Guided Healing, LLC

  • Clinical Social Worker
  • Warwick, RI
  • NPI 1427807882
  NPD Authorized official

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

{
    "created_epoch": "1561593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689206400000",
    "number": "1447811690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "GUIDED HEALING",
            "address_2": "10 DAVOL SQUARE, SUITE 100",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "02903",
            "telephone_number": "401-236-7226",
            "fax_number": "401-223-4511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "GUIDED HEALING C/O THE SEG HUB",
            "address_2": "10 DAVOL SQUARE, SUITE 100",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029034752",
            "telephone_number": "401-236-7226",
            "fax_number": "401-223-4511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENA",
        "first_name": "KATHLEEN",
        "name_prefix": "Mrs.",
        "credential": "MSW, CGS, LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-27",
        "last_updated": "2023-07-13",
        "certification_date": "2023-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "RI",
            "license": "ISW03541",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHLEEN",
            "last_name": "COSTA",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Richard A Peloquin, PA-C
• David Anthony Pelosi, DC
• Noelle Pelrine
• Salley Gibney Pels, MD
• Clara Pena
• Lidia Pena
• Shyla S Pena
• Katherine Penate
• Vanessa Penate
• Filomena Penco II, LICSW

• Clinical Social Worker in Providence, RI
• Providers in Providence, 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 Jul 13, 2023; 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.