=====================================================
General NPI Number Information
=====================================================
NPI Number | 1487451910
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | STEVE MUCHIRI LCSW
-----------------------------------------------------
Gender | Male
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 03/03/2025
-----------------------------------------------------
Last Update Date | 03/03/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 225 NEWMAN AVE
-----------------------------------------------------
City | RUMFORD
-----------------------------------------------------
State | RI
-----------------------------------------------------
Zip | 02916-1218
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 401-837-2599
-----------------------------------------------------
Fax | 401-433-0502
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 225 NEWMAN AVE
-----------------------------------------------------
City | RUMFORD
-----------------------------------------------------
State | RI
-----------------------------------------------------
Zip | 02916-1218
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 401-837-2599
-----------------------------------------------------
Fax | 401-433-0502
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 104100000X
-----------------------------------------------------
Taxonomy Name | Social Worker
-----------------------------------------------------
License Number | LCSW227575
-----------------------------------------------------
License Number State | MA
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 104100000X
-----------------------------------------------------
Taxonomy Name | Social Worker
-----------------------------------------------------
License Number | CSW02570
-----------------------------------------------------
License Number State | RI
-----------------------------------------------------