Provider Demographics
NPI:1588211718
Name:DEBIGARE, KAYLA (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:KAYLA
Middle Name:
Last Name:DEBIGARE
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8 CEDAR KNOLL DR
Mailing Address - Street 2:
Mailing Address - City:ASHAWAY
Mailing Address - State:RI
Mailing Address - Zip Code:02804-1106
Mailing Address - Country:US
Mailing Address - Phone:508-269-5688
Mailing Address - Fax:
Practice Address - Street 1:8 CEDAR KNOLL DR
Practice Address - Street 2:
Practice Address - City:ASHAWAY
Practice Address - State:RI
Practice Address - Zip Code:02804-1106
Practice Address - Country:US
Practice Address - Phone:508-269-5688
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-08-22
Last Update Date:2023-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RICSW023231041C0700X
RIISW035441041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical