Shalyn Danielle Fava, LICSW in North Kingstown, RI - Medicare Social Worker Provider

Shalyn Danielle Fava, LICSW is a medicare enrolled "Social Worker - Clinical" provider in North Kingstown, Rhode Island. Her current practice location is 420 Scrabbletown Rd Ste A, North Kingstown, Rhode Island. You can reach out to her office (for appointments etc.) via phone at (401) 268-5333.

Shalyn Danielle Fava is licensed to practice in Rhode Island (license number ISW03016) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1972070761.

Contact Information

	Shalyn Danielle Fava, LICSW
	420 Scrabbletown Rd Ste A, North Kingstown, RI 02852-3638
	(401) 268-5333
	(855) 268-5333

Map and Direction

Healthcare Provider's Profile

Full Name	Shalyn Danielle Fava
Gender	Female
Speciality	Social Worker - Clinical
Location	420 Scrabbletown Rd Ste A, North Kingstown, Rhode Island
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1972070761
Provider Enumeration Date: 10/30/2018
Last Update Date: 01/31/2024

Medicare PECOS Information:

PECOS PAC ID: 7517390255
Enrollment ID: I20191210002545

Medical Identifiers

Medical identifiers for Shalyn Danielle Fava such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1972070761	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	ISW03016 (Rhode Island)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Shalyn Danielle Fava allows following entities to bill medicare on her behalf.

Entity Name	South County Psychiatry Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1003454034 PECOS PAC ID: 4880021658 Enrollment ID: O20200218000767

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Shalyn Danielle Fava is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Shalyn Danielle Fava, LICSW 420 Scrabbletown Rd Ste A, North Kingstown, RI 02852-3638 Ph: (401) 268-5333	Shalyn Danielle Fava, LICSW 420 Scrabbletown Rd Ste A, North Kingstown, RI 02852-3638 Ph: (401) 268-5333

Reviews and Comments

Social Worker in North Kingstown, RI

Mrs. Pamela Morelli, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 426 Scrabbletown Rd., North Kingstown, RI 02852 Phone: 401-269-9083 Fax: 401-438-0632
Ms. Martha Dempster, LICSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1130 Ten Rod Rd, D104, North Kingstown, RI 02852 Phone: 401-935-9784 Fax: 401-295-5552
Celine Harper, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1130 Ten Rod Rd Ste C104, North Kingstown, RI 02852 Phone: 401-250-2731
Durinda Chace, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 650 Ten Rod Rd Unit 13, Family Service Of Rhode Island, North Kingstown, RI 02852 Phone: 401-331-1350 Fax: 401-277-3366
Ms. Elizabeth Maria Voso, MSW LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1130 Ten Rod Road, Suite E 205, North Kingstown, RI 02852 Phone: 401-295-8880 Fax: 401-295-8880
Karen M. Connors, ACSW,LICSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 1130 Ten Rod Rd, Suite D104, North Kingstown, RI 02852 Phone: 401-295-5575 Fax: 401-295-5552
Connor Curtis, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 14 King Phillip Cir, North Kingstown, RI 02852 Phone: 774-279-6704

Shalyn Danielle Fava, LICSW - Medicare Clinical Social Worker in North Kingstown, RI