Katia E Custer, LCSW, MSW | |
42 Valley Rd, Middletown, RI 02842-6400 | |
(401) 236-1873 | |
Not Available |
Full Name | Katia E Custer |
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Gender | Female |
Speciality | Social Worker - Clinical |
Location | 42 Valley Rd, Middletown, 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 |
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1003470147 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1041C0700X | Social Worker - Clinical | CSW02800 (Rhode Island) | Primary |
Entity Name | Newport County Community Mental Health Center, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1093713174 PECOS PAC ID: 9830089812 Enrollment ID: O20040316000531 |
Mailing Address | Practice Location Address |
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Katia E Custer, LCSW, MSW 127 Johnny Cake Hill Rd, Middletown, RI 02842-5674 Ph: (401) 236-1873 | Katia E Custer, LCSW, MSW 42 Valley Rd, Middletown, RI 02842-6400 Ph: (401) 236-1873 |
Ms. Sharon L Lyman Correia, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 67 Valley Rd, Middletown, RI 02842 Phone: 401-297-7415 | |
Riley Goulet, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 42 Valley Rd, Middletown, RI 02842 Phone: 401-846-1213 Fax: 401-848-6398 | |
Christa Edolo, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 19 Valley Rd, Middletown, RI 02842 Phone: 401-841-8896 Fax: 401-848-4192 | |
Susan Annette Collins, Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 31 John Clarke Rd, Middletown, RI 02842 Phone: 401-849-2300 | |
Ronald C. Fleming, PH.D., LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 31 John Clarke Road, Middletown, RI 02842 Phone: 401-849-2300 Fax: 401-841-8841 | |
Ms. Julie Ann Miller, LICSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 1272 W Main Rd, Building I, Middletown, RI 02842 Phone: 401-619-1634 Fax: 401-619-1634 |