Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kimberly A Waggoner, MSW

Individual provider Clinical Social Worker · NPI 1114954302

Kimberly A Waggoner, MSW is a Clinical Social Worker in East Providence, Rhode Island. Practices as a sole proprietor. Licensed in Rhode Island.

Licensed in
RI
In the registry since
2006
What do these letters mean?
MSW — Master of Social Work
The graduate degree in social work.

See every abbreviation used in this directory →

Practice location Address checks out

400 Massasoit Ave Ste 101
East Providence, RI 02914-2017
Phone: (401) 612-7693
Fax: (401) 432-1500
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence ISW00879 (RI)

Record details

NPI number1114954302
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSW
Sole proprietorYes
NPI enumeratedJune 26, 2006
Last updated in NPPESAugust 28, 2021
Certification dateAugust 28, 2021
Mailing address400 Massasoit Ave Ste 101, East Providence, RI 02914-2017

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