Nicholas Ivan Kendrick, LCSW | |
1011 Veterans Memorial Pkwy, Riverside, RI 02915-5061 | |
(401) 432-1000 | |
(401) 432-1500 |
Full Name | Nicholas Ivan Kendrick |
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Gender | Male |
Speciality | Social Worker - Clinical |
Location | 1011 Veterans Memorial Pkwy, Riverside, 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 |
---|---|---|---|
1154762136 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | ISW03614 (Rhode Island) | Primary |
Entity Name | Emma Pendleton Bradley Hospital |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1578768867 PECOS PAC ID: 3870527526 Enrollment ID: O20050921001082 |
Entity Name | Lifespan Physician Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1548506793 PECOS PAC ID: 2567455082 Enrollment ID: O20130528000089 |
Mailing Address | Practice Location Address |
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Nicholas Ivan Kendrick, LCSW 117 Ellenfield St Ste 101, Providence, RI 02905-4541 Ph: () - | Nicholas Ivan Kendrick, LCSW 1011 Veterans Memorial Pkwy, Riverside, RI 02915-5061 Ph: (401) 432-1000 |
Mollie Burns, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1011 Veterans Memorial Pkwy, Riverside, RI 02915 Phone: 401-432-1000 | |
Mrs. Catherine Lynn Brown, MSW, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 610 Wampanoag Trl, Riverside, RI 02915 Phone: 401-431-9870 Fax: 401-435-7486 | |
Samantha Rose Kavanagh, Licsw, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 501 Wampanoag Trl Unit 400, Riverside, RI 02915 Phone: 401-785-0040 | |
Lilliane Joan Murgo, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1011 Veterans Memorial Pkwy, Riverside, RI 02915 Phone: 401-432-1000 | |
Jennifer W. Jencks, PH.D. Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1011 Veterans Memorial Pkwy, Riverside, RI 02915 Phone: 401-432-1000 Fax: 401-432-1500 | |
Ms. Kendra O Macamaux, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1011 Veterans Memorial Pkwy, Riverside, RI 02915 Phone: 401-432-1000 Fax: 401-432-1500 | |
Mica Hinga, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1011 Veterans Memorial Pkwy, Riverside, RI 02915 Phone: 185-554-3546 |