Provider Demographics
NPI:1689852543
Name:MONAGHAN, NATALIE KATE (LICSW)
Entity Type:Individual
Prefix:MRS
First Name:NATALIE
Middle Name:KATE
Last Name:MONAGHAN
Suffix:
Gender:F
Credentials:LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:73 OAK HILL AVE
Mailing Address - Street 2:
Mailing Address - City:PAWTUCKET
Mailing Address - State:RI
Mailing Address - Zip Code:02860-6127
Mailing Address - Country:US
Mailing Address - Phone:401-533-6624
Mailing Address - Fax:
Practice Address - Street 1:73 OAK HILL AVE
Practice Address - Street 2:
Practice Address - City:PAWTUCKET
Practice Address - State:RI
Practice Address - Zip Code:02860-6127
Practice Address - Country:US
Practice Address - Phone:401-533-6624
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-02-03
Last Update Date:2008-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIISW018861041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical