Andrew Denicola, | |
111 Howard Ave, Cranston, RI 02920-3001 | |
(401) 462-0325 | |
Not Available |
Full Name | Andrew Denicola |
---|---|
Gender | Male |
Speciality | Counselor - Mental Health |
Location | 111 Howard Ave, Cranston, 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 |
---|---|---|---|
1104318138 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101Y00000X | Counselor | (* (Not Available)) | Secondary |
101YM0800X | Counselor - Mental Health | MHC01160 (Rhode Island) | Primary |
Entity Name | Prospect Chartercare Sjhsri Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1588089759 PECOS PAC ID: 7315179314 Enrollment ID: O20140722001928 |
Entity Name | Prospect Chartercare Rwmc, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1285059287 PECOS PAC ID: 0547492696 Enrollment ID: O20140728001672 |
Mailing Address | Practice Location Address |
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Andrew Denicola, 111 Howard Ave, Cranston, RI 02920-3001 Ph: () - | Andrew Denicola, 111 Howard Ave, Cranston, RI 02920-3001 Ph: (401) 462-0325 |
Arturo Ramirez, Counselor Medicare: Not Enrolled in Medicare Practice Location: 9 Carlo Ct, Cranston, RI 02921 Phone: 781-697-9225 | |
Kathy Young, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1471 Elmwood Ave, Cranston, RI 02910 Phone: 401-724-8400 Fax: 401-722-5280 | |
Jaimie Gutierrez, LMHC-A Counselor Medicare: Not Enrolled in Medicare Practice Location: 1052 Park Ave, Cranston, RI 02910 Phone: 401-461-5056 | |
Elisabeth Merrell, Counselor Medicare: Not Enrolled in Medicare Practice Location: 15 Fleming Rd, Cranston, RI 02920 Phone: 800-455-8839 Fax: 866-455-8839 | |
Jeremy May, MASTERS, LMFT Counselor Medicare: Not Enrolled in Medicare Practice Location: 1471 Elmwood Ave, Cranston, RI 02910 Phone: 401-490-7320 Fax: 401-808-8685 | |
Dina Silva, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 156 Mulberry St, Cranston, RI 02910 Phone: 401-428-8065 | |
Kathryn Tarpey, BACHELORS Counselor Medicare: Not Enrolled in Medicare Practice Location: 1471 Elmwood Ave, Cranston, RI 02910 Phone: 401-490-7320 Fax: 401-490-7694 |