Fred Zucconi, LICSW | |
154 Warren Ave Unit 1, East Providence, RI 02914-5159 | |
(401) 434-4120 | |
Not Available |
Full Name | Fred Zucconi |
---|---|
Gender | Male |
Speciality | Clinical Social Worker |
Experience | 30 Years |
Location | 154 Warren Ave Unit 1, East Providence, Rhode Island |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1215012232 | NPI | - | NPPES |
30311-2 | Other | BLUE CROSS/SHIELD | |
FM49368 | Medicaid | RI | |
407070 | Other | BLUE CHIP | |
62-76970 | Other | RI | UNITED BEHAVIORAL HEALTH |
1023290 | Other | RI | GROUP BEACON HEALTH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | ISW01214 (Rhode Island) | Primary |
1041C0700X | Social Worker - Clinical | 1027414 (Massachusetts) | Secondary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
The Providence Center Inc | 9739080292 | 42 |
Entity Name | The Providence Center Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1104847946 PECOS PAC ID: 9739080292 Enrollment ID: O20040116000840 |
Mailing Address | Practice Location Address |
---|---|
Fred Zucconi, LICSW 84 Martin Ave, Barrington, RI 02806-2641 Ph: (401) 331-1350 | Fred Zucconi, LICSW 154 Warren Ave Unit 1, East Providence, RI 02914-5159 Ph: (401) 434-4120 |
Maria S Regan, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1011 Veterans Memorial Pkwy, East Providence, RI 02915 Phone: 401-432-1160 Fax: 401-432-1500 | |
Ms. Deborah Ann Furtado, M.S.W.,A.C.S.W. Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 146 Dover Ave, East Providence, RI 02914 Phone: 401-743-2433 | |
Julie K Klang, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1011 Veterans Memorial Pkwy, East Providence, RI 02915 Phone: 401-432-1352 Fax: 401-432-1500 | |
Coyna Peralta Pena, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 975 Waterman Ave, East Providence, RI 02914 Phone: 401-235-7000 Fax: 401-767-4516 | |
Ms. Diane Elizabeth Passantino, LICSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 55 Dover Ave, East Providence, RI 02914 Phone: 401-248-5823 Fax: 401-406-2701 | |
Mrs. Kerri-ann Soares Varela, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 52 Humphrey St, East Providence, RI 02914 Phone: 401-617-9366 | |
Rebecca Kathleen Sousa, LICSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 870 Waterman Ave, East Providence, RI 02914 Phone: 401-475-9979 |