Kehinde Vaz, LICSW
Individual provider Active NPI Clinical Social Worker · Providence, RI
NPI 1972168250 · NPPES record last updated May 2, 2019
Key facts
- NPI
- 1972168250
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- ISW02857 (RI)
- Practice address
- 530 N Main St
Providence, RI 02904-5762 - Phone
- (401) 443-5895
- NPI assigned
- May 2, 2019
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Providence Center | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | ISW02857 | RI | Yes |
Addresses
Primary practice location
530 N Main St
Providence, RI 02904-5762
Mailing address
530 N Main St
Providence, RI 02904-5762
Phone (401) 433-5895
Other providers in Providence, RI
- Yamile Vasquez
- Austin P Vaughan
- Tamiah Dora Vaughan
- Abby Vaughn
- Davontay Vaz
- Lia M. Vaz
- Rosalind Vaz
- Gioconda Vazquez
- Wesley Vear
- Reshma Oodal Vedantam
All providers in Providence, 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 May 2, 2019. 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.