Justice Gomes, | |
109 Garden St, Pawtucket, RI 02860-3705 | |
(774) 719-7824 | |
Not Available |
Full Name | Justice Gomes |
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Gender | Female |
Speciality | Social Worker - Clinical |
Location | 109 Garden St, Pawtucket, 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 |
---|---|---|---|
1285350645 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | LCSW228937 (* (Not Available)) | Secondary |
1041C0700X | Social Worker - Clinical | CSW02957 (Rhode Island) | Primary |
Entity Name | Boston Neurobehavioral Associates Llp |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1558415307 PECOS PAC ID: 9436142429 Enrollment ID: O20120926000381 |
Mailing Address | Practice Location Address |
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Justice Gomes, 1540 Pontiac Ave, Cranston, RI 02920-4472 Ph: () - | Justice Gomes, 109 Garden St, Pawtucket, RI 02860-3705 Ph: (774) 719-7824 |
Rebecca Jean-mee Savi, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 242 Dexter St, Pawtucket, RI 02860 Phone: 508-369-8987 | |
Mrs. Stacie Cummins-mclaughlin, L.I.C.S.W. Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 100 Lafayette St, Suite 305, Pawtucket, RI 02860 Phone: 401-722-9091 Fax: 401-722-5451 | |
Elizabeth Pinkham, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 203 Concord St, Suite 335, Pawtucket, RI 02860 Phone: 401-365-6855 Fax: 401-365-6860 | |
Nathali Rosa, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 200 Main St Ste 210, Pawtucket, RI 02860 Phone: 401-728-1800 | |
Christine Emond, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 101 Bacon St, Pawtucket, RI 02860 Phone: 401-722-3560 Fax: 401-724-3120 | |
Christine Lucene Williams, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 101 Bacon St Pawtucket, Ri 02860, Ste 103., Pawtucket, RI 02860 Phone: 707-382-2291 | |
Mr. David H. Yuells, LICSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 84 Harris St, Pawtucket, RI 02861 Phone: 401-475-5075 Fax: 401-365-1044 |