Provider Demographics
NPI:1093285082
Name:SCHEFFEY, KATHRYN LAVINIA (LICSW, MPH)
Entity Type:Individual
Prefix:
First Name:KATHRYN
Middle Name:LAVINIA
Last Name:SCHEFFEY
Suffix:
Gender:F
Credentials:LICSW, MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 RICHMOND SQ STE 219W
Mailing Address - Street 2:
Mailing Address - City:PROVIDENCE
Mailing Address - State:RI
Mailing Address - Zip Code:02906-5136
Mailing Address - Country:US
Mailing Address - Phone:401-484-8491
Mailing Address - Fax:
Practice Address - Street 1:1 RICHMOND SQ STE 219W
Practice Address - Street 2:
Practice Address - City:PROVIDENCE
Practice Address - State:RI
Practice Address - Zip Code:02906-5136
Practice Address - Country:US
Practice Address - Phone:401-484-8491
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-12-03
Last Update Date:2023-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIISW036711041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical