Lucely D Rodriguez, | |
6 Utter St, North Providence, RI 02904-5324 | |
(401) 376-3097 | |
Not Available |
Full Name | Lucely D Rodriguez |
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Gender | Female |
Speciality | Social Worker - Clinical |
Location | 6 Utter St, North Providence, 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 |
---|---|---|---|
1093160558 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | ISW03495 (Rhode Island) | Primary |
Entity Name | Clear Space Mh, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1740918028 PECOS PAC ID: 1850762840 Enrollment ID: O20230131000808 |
Mailing Address | Practice Location Address |
---|---|
Lucely D Rodriguez, 555 N Main St # 1171, Providence, RI 02904-5722 Ph: (401) 376-3093 | Lucely D Rodriguez, 6 Utter St, North Providence, RI 02904-5324 Ph: (401) 376-3097 |
Christine L Constantineau, CSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 200 High Service Ave, North Providence, RI 02904 Phone: 401-456-3000 | |
Mandy Lecomte, LICSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 35 Dorman Avenue, North Providence, RI 02904 Phone: 401-263-2885 | |
Erin Lemre, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 420 Fruit Hill Ave, North Providence, RI 02911 Phone: 401-353-3900 Fax: 401-354-7986 | |
Mrs. Mara Rosa Olink, MSW, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 420 Fruit Hill Ave, North Providence, RI 02911 Phone: 401-353-3900 Fax: 401-784-3549 | |
Melissa Quinn Roy, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 420 Fruit Hill Ave, North Providence, RI 02911 Phone: 401-353-3900 | |
Brynn Elizabeth Terry, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 200 High Service Ave, North Providence, RI 02904 Phone: 401-456-3400 |