Mr David James Stanford, MSW, LICSW, LCDP II | |
72 3rd St, Providence, RI 02906-2729 | |
(401) 276-2723 | |
(401) 276-2723 |
Full Name | Mr David James Stanford |
---|---|
Gender | Male |
Speciality | Clinical Social Worker |
Experience | 26 Years |
Location | 72 3rd St, Providence, Rhode Island |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1114135357 | NPI | - | NPPES |
ISW01795 | Other | RI | ICSW |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | ISW01795 (Rhode Island) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Boston Health Care Inc | 0244218360 | 11 |
Northeast Health Services Llc | 6901866706 | 225 |
Entity Name | Boston Health Care Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1821065640 PECOS PAC ID: 0244218360 Enrollment ID: O20040720001397 |
Entity Name | Northeast Health Services Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1225067481 PECOS PAC ID: 6901866706 Enrollment ID: O20041015000643 |
Mailing Address | Practice Location Address |
---|---|
Mr David James Stanford, MSW, LICSW, LCDP II 21 Whitman St, Pawtucket, RI 02860-4901 Ph: (401) 723-4397 | Mr David James Stanford, MSW, LICSW, LCDP II 72 3rd St, Providence, RI 02906-2729 Ph: (401) 276-2723 |
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 |