Jazlyn Mitchell, | |
1443 Hartford Ave, Johnston, RI 02919-3224 | |
(401) 667-6658 | |
Not Available |
Full Name | Jazlyn Mitchell |
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Gender | Female |
Speciality | Social Worker - Clinical |
Location | 1443 Hartford Ave, Johnston, 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 |
---|---|---|---|
1700487188 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
Entity Name | Supportive Care I Of Rhode Island Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1912666454 PECOS PAC ID: 1951793546 Enrollment ID: O20220111000885 |
Mailing Address | Practice Location Address |
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Jazlyn Mitchell, 435 Laurel Hill Ave, Cranston, RI 02920-7644 Ph: (401) 243-7105 | Jazlyn Mitchell, 1443 Hartford Ave, Johnston, RI 02919-3224 Ph: (401) 667-6658 |
Santanna Rocha, J.D., M.S.W., LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1443 Hartford Ave, Johnston, RI 02919 Phone: 401-273-8100 Fax: 401-861-8696 | |
Ms. Aprile R Daley, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1126 Hartford Ave, Johnston, RI 02919 Phone: 401-351-1940 Fax: 401-351-6613 | |
Mr. Clinton C. Crete, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 108 Peck Hill Rd, Johnston, RI 02919 Phone: 401-533-4909 | |
John Matthew Campopiano, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1395 Atwood Ave, Johnston, RI 02919 Phone: 401-345-1650 | |
Ellen Fitzgerald-mccallum, LICSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 1443 Hartford Ave, Johnston, RI 02919 Phone: 401-273-8100 Fax: 401-861-8696 | |
Alicia Ead, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1443 Hartford Ave, Johnston, RI 02919 Phone: 401-556-1149 | |
Kendra Dimino, LICSW Clinical Social Worker Medicare: May Accept Medicare Assignments Practice Location: 1524 Atwood Ave, Suite 213, Johnston, RI 02919 Phone: 401-351-0400 Fax: 401-351-0410 |