MEDICARE: MRS. KATHERINE A GEE CHAMPAGNE LICSW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	ISW01402	RI

General Provider Information

NPI Number	:	1457423444
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. KATHERINE A GEE CHAMPAGNE LICSW

Provider Business Mailing Address
First Line	:	35 WOOD RD
Second Line	:
City	:	RICHMOND
State	:	RI
Zip	:	02898-1107
Country	:	US
Telephone Number	:	401-539-0531
Fax Number	:

Provider Business Practice Location Address
First Line	:	35 WOOD RD
Second Line	:
City	:	RICHMOND
State	:	RI
Zip	:	02898-1107
Country	:	US
Telephone Number	:	401-486-7728
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/14/2006
Last Update Date	:	12/29/2025

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