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NPI Code Detail

MEDICARE: KRISTEN M SORRELL LICSW

MEDICARE: KRISTEN M SORRELL 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
11041C0700XClinical Social WorkerISW01799RI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1508088915
Entity Type Code : Individual
Provider Name (Legal Business Name) : KRISTEN M SORRELL LICSW
Provider Business Mailing Address
First Line : 2756 POST RD
Second Line :
City : WARWICK
State : RI
Zip : 02886-3077
Country : US
Telephone Number : 401-691-6000
Fax Number :
Provider Business Practice Location Address
First Line : 2756 POST RD
Second Line :
City : WARWICK
State : RI
Zip : 02886-3077
Country : US
Telephone Number : 401-691-6000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/03/2007
Last Update Date : 07/24/2025

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