Ms Diane Elaine Reese, LCSW | |
4705 Old Post Rd Unit A, Charlestown, RI 02813-1842 | |
(401) 364-7705 | |
Not Available |
Full Name | Ms Diane Elaine Reese |
---|---|
Gender | Female |
Speciality | Clinical Social Worker |
Experience | 28 Years |
Location | 4705 Old Post Rd Unit A, Charlestown, 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 |
---|---|---|---|
1609899855 | NPI | - | NPPES |
004235091 | Medicaid | CT |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | (Connecticut) | Secondary |
1041C0700X | Social Worker - Clinical | ISW03116 (Rhode Island) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Gateway Healthcare Inc | 7719874908 | 29 |
Entity Name | Gateway Healthcare Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1821078932 PECOS PAC ID: 7719874908 Enrollment ID: O20040302001066 |
Mailing Address | Practice Location Address |
---|---|
Ms Diane Elaine Reese, LCSW 117 Ellenfiled Street, Suite 101, Providence, RI 02905-4513 Ph: (401) 364-7705 | Ms Diane Elaine Reese, LCSW 4705 Old Post Rd Unit A, Charlestown, RI 02813-1842 Ph: (401) 364-7705 |
Ms. Jacqueline M Robshaw, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4705a Old Post Rd, Charlestown, RI 02813 Phone: 401-364-7705 Fax: 401-364-9104 | |
Michael Cole Pendergast, MSW, LICSW, ACSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 4705a Old Post Rd, Charlestown, RI 02813 Phone: 401-364-7705 | |
Alexis T Schonrog, LICSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 45b Buckeye Brook Rd, Charlestown, RI 02813 Phone: 401-741-8206 Fax: 866-387-6480 | |
Rebecca Gessow, LICSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 4705a Old Post Rd, Charlestown, RI 02813 Phone: 401-364-7705 Fax: 401-364-9104 | |
Mr. Joseph T Wilkinson, LICSW Clinical Social Worker Medicare: May Accept Medicare Assignments Practice Location: 3949 Old Post Rd, Charlestown, RI 02813 Phone: 401-862-7254 | |
Nathaniel Mazza, Clinical Social Worker Medicare: May Accept Medicare Assignments Practice Location: 4705 Old Post Rd Unit A, Charlestown, RI 02813 Phone: 401-346-7705 | |
Craig Warren Gaspard, LICSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 51 Old Mill Rd, Charlestown, RI 02813 Phone: 401-364-1263 Fax: 401-364-5220 |