Nina S Mackta, LICSW | |
40 Watch Hill Way, Wakefield, RI 02879-7692 | |
(401) 792-3664 | |
Not Available |
Full Name | Nina S Mackta |
---|---|
Gender | Female |
Speciality | Social Worker - Clinical |
Location | 40 Watch Hill Way, Wakefield, 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 |
---|---|---|---|
1851493621 | NPI | - | NPPES |
413619 | Other | BLUE CHIP | |
31708-9 | Other | BLUE CROSS BLUE SHIELD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | ISW01136 (Rhode Island) | Primary |
Entity Name | Providence Behavioral Health Associates Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1023142700 PECOS PAC ID: 3274798236 Enrollment ID: O20120626000461 |
Mailing Address | Practice Location Address |
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Nina S Mackta, LICSW 40 Watch Hill Way, Wakefield, RI 02879-7692 Ph: (401) 331-1350 | Nina S Mackta, LICSW 40 Watch Hill Way, Wakefield, RI 02879-7692 Ph: (401) 792-3664 |
Ms. Rebecca S Dexter, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 30 Holley St, Wakefield, RI 02879 Phone: 401-789-0170 Fax: 401-789-9063 | |
Pamela Gail Watson, LICSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 61 River Heights Dr, Wakefield, RI 02879 Phone: 401-789-2664 | |
Svetlana Goretaya, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 35 South County Commons Way, 2nd Floor, Suite D8-1, Wakefield, RI 02879 Phone: 401-282-9221 | |
Leslie Morales Oliver, Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 23 North Rd, Unit A-21, Wakefield, RI 02879 Phone: 401-789-0810 Fax: 401-364-0099 | |
Nely Maria Pires, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1 River St, Wakefield, RI 02879 Phone: 401-783-0523 | |
Bethany Virgilio, LICSW Clinical Social Worker Medicare: May Accept Medicare Assignments Practice Location: 70 Kenyon Ave Unit 211, Wakefield, RI 02879 Phone: 401-788-1276 Fax: 401-788-1514 | |
Saul Richman, MSW, CSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1 High St, Wakefield, RI 02879 Phone: 401-895-0905 |