Kayla Smith, LICSW | |
101 - 103 Bacon Street, Pawtucket, RI 02860 | |
(401) 722-3560 | |
Not Available |
Full Name | Kayla Smith |
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Gender | Female |
Speciality | Social Worker - Clinical |
Location | 101 - 103 Bacon Street, 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 |
---|---|---|---|
1194122044 | NPI | - | NPPES |
GH57134 | Medicaid | RI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | ISW02908 (Rhode Island) | Primary |
Entity Name | Gateway Healthcare Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1821078932 PECOS PAC ID: 7719874908 Enrollment ID: O20040302001066 |
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 |
---|---|
Kayla Smith, LICSW 117 Ellenfield St Ste 101, Providence, RI 02905-4513 Ph: (401) 444-6779 | Kayla Smith, LICSW 101 - 103 Bacon Street, Pawtucket, RI 02860 Ph: (401) 722-3560 |
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 |