| Mr David Jon Medeiros, LICSW | |
|
173 Waterman St, Providence, RI 02906-3919 | |
| (401) 743-1214 | |
| Not Available |
| Full Name | Mr David Jon Medeiros |
|---|---|
| Gender | Male |
| Speciality | Counselor - Mental Health |
| Location | 173 Waterman St, Providence, Rhode Island |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336204072 | NPI | - | NPPES |
| 409312 | Other | RI | BLUECHIP |
| 20494-7 | Other | RI | BLUECROSS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | ISW01114 (Rhode Island) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mr David Jon Medeiros, LICSW 173 Waterman St, Providence, RI 02906-3919 Ph: (401) 743-1214 | Mr David Jon Medeiros, LICSW 173 Waterman St, Providence, RI 02906-3919 Ph: (401) 743-1214 |
Olivia Meunier, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 530 N Main St, Providence, RI 02904 Phone: 401-274-2500 | |
Mr. Brian P Shea, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 50 Park Row W, #426, Providence, RI 02903 Phone: 617-455-2788 | |
Alisha Choquette, AA, ACDP Counselor Medicare: Not Enrolled in Medicare Practice Location: 66 Burnett St, Providence, RI 02907 Phone: 401-785-0050 Fax: 401-941-0089 | |
Betsy Riccio, Counselor Medicare: Not Enrolled in Medicare Practice Location: 300 River Ave, Providence, RI 02908 Phone: 401-465-1955 | |
Miss Ashley L Addison, BA, LCDP, CCSP Counselor Medicare: Not Enrolled in Medicare Practice Location: 530 N Main St, Providence, RI 02904 Phone: 401-276-4100 | |
Jennifer Ortiz, Counselor Medicare: Not Enrolled in Medicare Practice Location: 66 Pavilion Ave, Providence, RI 02905 Phone: 401-461-9110 | |
Shane Lima, Counselor Medicare: Not Enrolled in Medicare Practice Location: 66 Pavilion Ave, Providence, RI 02905 Phone: 401-461-9110 |