NPI 1003061144
Kelly Baraf, LICSW
Practice location
- Address
- 49 Pavilion Ave Suite 105, Providence, RI 02905-1534
- Phone
- (401) 490-8900
- Fax
- (401) 490-2619
- Mailing address
- 4 Lafayette St, Pawtucket, RI 02860-6122
Registered specialties
Clinical Social Worker
Primary
Registry record
- NPI
- 1003061144
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 17 Nov 2008
- Record last updated
- 3 Sep 2013
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.