Jennifer M Etue, LICSW in Providence, RI - Medicare Clinical Social Worker Provider

Jennifer M Etue, LICSW is a medicare enrolled "Social Worker - Clinical" provider in Providence, Rhode Island. She graduated from medical school in 2006 and has 18 years of diverse experience with area of expertise as Clinical Social Worker. She is a member of the group practice The Providence Community Health Centers Inc. and her current practice location is 1 Randall Sq, Providence, Rhode Island. You can reach out to her office (for appointments etc.) via phone at (401) 274-6339.

Jennifer M Etue is licensed to practice in Rhode Island (license number ISW02015) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1639320013.

Contact Information

	Jennifer M Etue, LICSW
	1 Randall Sq, Providence, RI 02904-2709
	(401) 274-6339
	(401) 453-6290

Map and Direction

Healthcare Provider's Profile

Full Name	Jennifer M Etue
Gender	Female
Speciality	Clinical Social Worker
Experience	18 Years
Location	1 Randall Sq, Providence, Rhode Island
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Jennifer M Etue graduated from medical school in 2006

NPI Data:

NPI Number: 1639320013
Provider Enumeration Date: 10/03/2008
Last Update Date: 12/15/2023

Medicare PECOS Information:

PECOS PAC ID: 9335276484
Enrollment ID: I20100421000197

Medical Identifiers

Medical identifiers for Jennifer M Etue such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1639320013	NPI	-	NPPES
JE72997	Medicaid	RI
1021740	Other		NHP/BEACON GROUP

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	ISW02015 (Rhode Island)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
The Providence Community Health Centers Inc.	9335050962	71

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Jennifer M Etue allows following entities to bill medicare on her behalf.

Entity Name	The Providence Community Health Centers Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1053313593 PECOS PAC ID: 9335050962 Enrollment ID: O20040608000007

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jennifer M Etue is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Jennifer M Etue, LICSW 375 Allens Ave, Providence, RI 02905-5010 Ph: (401) 444-0400	Jennifer M Etue, LICSW 1 Randall Sq, Providence, RI 02904-2709 Ph: (401) 274-6339

Reviews and Comments

Social Worker in Providence, RI

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

Jennifer M Etue, LICSW - Medicare Clinical Social Worker in Providence, RI