Healthcare Provider Details

I. General information

NPI: 1922586098
Provider Name (Legal Business Name): SARNYA KUNCHITHAPATHAM PICHAIYAPPA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/01/2018
Last Update Date: 12/17/2025
Certification Date: 12/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

55 HOPE ST
PROVIDENCE RI
02906
US

IV. Provider business mailing address

55 HOPE ST
PROVIDENCE RI
02906-2001
US

V. Phone/Fax

Practice location:
  • Phone: 401-331-1350
  • Fax:
Mailing address:
  • Phone: 401-331-1350
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code104100000X
TaxonomySocial Worker
License NumberCSW02161
License Number StateRI
# 2
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberISW03532
License Number StateRI
# 3
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberLICSW1142776
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: