Provider Demographics
NPI:1366835738
Name:DIORIO-ROONEY, KIMBERLY (MASTERS)
Entity type:Individual
Prefix:
First Name:KIMBERLY
Middle Name:
Last Name:DIORIO-ROONEY
Suffix:
Gender:F
Credentials:MASTERS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 MCKINLEY ST APT 2
Mailing Address - Street 2:
Mailing Address - City:NORTH PROVIDENCE
Mailing Address - State:RI
Mailing Address - Zip Code:02904-4652
Mailing Address - Country:US
Mailing Address - Phone:401-323-4244
Mailing Address - Fax:
Practice Address - Street 1:111 JOHN ST
Practice Address - Street 2:
Practice Address - City:LINCOLN
Practice Address - State:RI
Practice Address - Zip Code:02865-1748
Practice Address - Country:US
Practice Address - Phone:401-537-8216
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-03-10
Last Update Date:2025-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
RIGH57134Medicaid