Nathaniel Mazza, | |
4705 Old Post Rd Unit A, Charlestown, RI 02813-1842 | |
(401) 346-7705 | |
Not Available |
Full Name | Nathaniel Mazza |
---|---|
Gender | Male |
Speciality | Clinical Social Worker |
Experience | 4 Years |
Location | 4705 Old Post Rd Unit A, Charlestown, Rhode Island |
Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1366060097 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | (Rhode Island) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
North Road Psychiatry Llc | 9133531593 | 2 |
Entity Name | North Road Psychiatry Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1215540042 PECOS PAC ID: 9133531593 Enrollment ID: O20201209002077 |
Mailing Address | Practice Location Address |
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Nathaniel Mazza, 4705 Old Post Rd Unit A, Charlestown, RI 02813-1842 Ph: () - | Nathaniel Mazza, 4705 Old Post Rd Unit A, Charlestown, RI 02813-1842 Ph: (401) 346-7705 |
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 | |
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 |