| Kristine Dominique, LICSW | |
|
4705 Old Post Rd, Charlestown, RI 02813-1819 | |
| (401) 364-7705 | |
| (401) 364-9104 |
| Full Name | Kristine Dominique |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 4705 Old Post Rd, Charlestown, Rhode Island |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386706521 | NPI | - | NPPES |
| KD50510 | Medicaid | RI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | ISW01753 (Rhode Island) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Kristine Dominique, LICSW Po Box 899, Charlestown, RI 02813-0899 Ph: (401) 364-7705 | Kristine Dominique, LICSW 4705 Old Post Rd, Charlestown, RI 02813-1819 Ph: (401) 364-7705 |
Ms. Jacqueline M Robshaw, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4705a Old Post Rd, Charlestown, RI 02813 Phone: 401-364-7705 Fax: 401-364-9104 | |
Michael Cole Pendergast, MSW, LICSW, ACSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 4705a Old Post Rd, Charlestown, RI 02813 Phone: 401-364-7705 | |
Alexis T Schonrog, LICSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 45b Buckeye Brook Rd, Charlestown, RI 02813 Phone: 401-741-8206 Fax: 866-387-6480 | |
Rebecca Gessow, LICSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 4705a Old Post Rd, Charlestown, RI 02813 Phone: 401-364-7705 Fax: 401-364-9104 | |
Mr. Joseph T Wilkinson, LICSW Clinical Social Worker Medicare: May Accept Medicare Assignments Practice Location: 3949 Old Post Rd, Charlestown, RI 02813 Phone: 401-862-7254 | |
Nathaniel Mazza, Clinical Social Worker Medicare: May Accept Medicare Assignments Practice Location: 4705 Old Post Rd Unit A, Charlestown, RI 02813 Phone: 401-346-7705 | |
Craig Warren Gaspard, LICSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 51 Old Mill Rd, Charlestown, RI 02813 Phone: 401-364-1263 Fax: 401-364-5220 |