Healthcare Provider Details

I. General information

NPI: 1336909571
Provider Name (Legal Business Name): KATHERINE LEEMAN LICSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/21/2024
Last Update Date: 09/05/2026
Certification Date: 09/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

140 POINT JUDITH RD # 23
NARRAGANSETT RI
02882-3477
US

IV. Provider business mailing address

133 MARBURY AVE
PAWTUCKET RI
02860-6143
US

V. Phone/Fax

Practice location:
  • Phone: 401-250-2731
  • Fax:
Mailing address:
  • Phone: 617-633-2553
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberISW04968
License Number StateRI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: