Krystal Vasconcelos, | |
825 Chalkstone Ave, Social Services, Providence, RI 02908-4728 | |
(401) 456-2000 | |
Not Available |
Full Name | Krystal Vasconcelos |
---|---|
Gender | Female |
Speciality | Clinical Social Worker |
Experience | 13 Years |
Location | 825 Chalkstone Ave, 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. |
Identifier | Type | State | Issuer |
---|---|---|---|
1720414337 | NPI | - | NPPES |
CSW01448 | Other | RI | LICENSE NUMBER |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | CSW01448 (Rhode Island) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
United Cerebral Palsy Of Rhode Island Inc | 7214314541 | 3 |
Entity Name | New England Wellness Collaborative Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1124585427 PECOS PAC ID: 9931513280 Enrollment ID: O20210127001498 |
Entity Name | United Cerebral Palsy Of Rhode Island Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1124585427 PECOS PAC ID: 7214314541 Enrollment ID: O20220506001118 |
Mailing Address | Practice Location Address |
---|---|
Krystal Vasconcelos, 825 Chalkstone Ave, N. Campus Business Office, Attn R. Soares, Providence, RI 02908-4728 Ph: (401) 456-2525 | Krystal Vasconcelos, 825 Chalkstone Ave, Social Services, Providence, RI 02908-4728 Ph: (401) 456-2000 |
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 |