Cerena Reid-maynard, LCSW | |
345 Blackstone Blvd, Providence, RI 02906-4800 | |
(401) 455-6226 | |
(401) 455-6604 |
Full Name | Cerena Reid-maynard |
---|---|
Gender | Female |
Speciality | Social Worker - Clinical |
Location | 345 Blackstone Blvd, Providence, Rhode Island |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1053759258 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | ISW02595 (Rhode Island) | Primary |
Entity Name | The Miriam Hospital |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1225073638 PECOS PAC ID: 6901796408 Enrollment ID: O20040625000150 |
Entity Name | Affinity Physicians Llc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1184944662 PECOS PAC ID: 0244413391 Enrollment ID: O20110326000053 |
Mailing Address | Practice Location Address |
---|---|
Cerena Reid-maynard, LCSW 455 Toll Gate Rd, Warwick, RI 02886-2759 Ph: (401) 273-0641 | Cerena Reid-maynard, LCSW 345 Blackstone Blvd, Providence, RI 02906-4800 Ph: (401) 455-6226 |
Kelly Baraf, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 49 Pavilion Ave, Suite 105, Providence, RI 02905 Phone: 401-490-8900 Fax: 401-490-2619 | |
Margarita Caballero-snyder, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 55 Hope St, Providence, RI 02906 Phone: 401-331-1350 Fax: 401-277-3366 | |
Amanda Baldaro, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 593 Eddy St., Providence, RI 02903 Phone: 401-444-4179 | |
Emily Myer, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 434 Mount Pleasant Ave, Providence, RI 02908 Phone: 888-612-7242 Fax: 401-444-0421 | |
Robert B Hagberg, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 153 Summer St, Providence, RI 02903 Phone: 401-276-4300 Fax: 041-331-3285 | |
Ms. Christina Stang, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 25 Hollywood Rd, Providence, RI 02909 Phone: 860-966-3171 | |
Elizabeth Sevin, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 830 Chalkstone Ave, Providence, RI 02908 Phone: 401-723-7100 |