M Raquel Kenyon, LICSW | |
530 N Main St, Providence, RI 02904-5762 | |
(401) 274-2500 | |
Not Available |
Full Name | M Raquel Kenyon |
---|---|
Gender | Female |
Speciality | Clinical Social Worker |
Experience | 23 Years |
Location | 530 N Main St, 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 |
---|---|---|---|
1609819457 | NPI | - | NPPES |
MK51540 | Medicaid | RI | |
1609819457 | Other | RI | UBH |
1104847946 | Other | RI | THE PROVIDENCE CENTER NPI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | ISW01957 (Rhode Island) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
The Providence Center Inc | 9739080292 | 42 |
Entity Name | The Providence Center Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1104847946 PECOS PAC ID: 9739080292 Enrollment ID: O20040116000840 |
Mailing Address | Practice Location Address |
---|---|
M Raquel Kenyon, LICSW 528 N Main St, Providence, RI 02904-5757 Ph: () - | M Raquel Kenyon, LICSW 530 N Main St, Providence, RI 02904-5762 Ph: (401) 274-2500 |
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 |