Jessica Miranda, | |
610 Wampanoag Trl, Riverside, RI 02915-1504 | |
(774) 271-4783 | |
Not Available |
Full Name | Jessica Miranda |
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Gender | Female |
Speciality | Social Worker - Clinical |
Location | 610 Wampanoag Trl, Riverside, 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 |
---|---|---|---|
1790472959 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
Entity Name | East Bay Community Action Program |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1609925122 PECOS PAC ID: 1951298595 Enrollment ID: O20040301000102 |
Mailing Address | Practice Location Address |
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Jessica Miranda, 145 Clara St, New Bedford, MA 02744-2206 Ph: (774) 271-4783 | Jessica Miranda, 610 Wampanoag Trl, Riverside, RI 02915-1504 Ph: (774) 271-4783 |
Mollie Burns, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1011 Veterans Memorial Pkwy, Riverside, RI 02915 Phone: 401-432-1000 | |
Mrs. Catherine Lynn Brown, MSW, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 610 Wampanoag Trl, Riverside, RI 02915 Phone: 401-431-9870 Fax: 401-435-7486 | |
Samantha Rose Kavanagh, Licsw, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 501 Wampanoag Trl Unit 400, Riverside, RI 02915 Phone: 401-785-0040 | |
Lilliane Joan Murgo, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1011 Veterans Memorial Pkwy, Riverside, RI 02915 Phone: 401-432-1000 | |
Jennifer W. Jencks, PH.D. Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1011 Veterans Memorial Pkwy, Riverside, RI 02915 Phone: 401-432-1000 Fax: 401-432-1500 | |
Ms. Kendra O Macamaux, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1011 Veterans Memorial Pkwy, Riverside, RI 02915 Phone: 401-432-1000 Fax: 401-432-1500 | |
Mica Hinga, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1011 Veterans Memorial Pkwy, Riverside, RI 02915 Phone: 185-554-3546 |