Ms Joan Teresa Mancuso, MA | |
1165 N Main St, Providence, RI 02904-5740 | |
(401) 331-1244 | |
(401) 331-5772 |
Full Name | Ms Joan Teresa Mancuso |
---|---|
Gender | Female |
Speciality | Counselor - Mental Health |
Location | 1165 N Main St, Providence, 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 |
---|---|---|---|
1457904435 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
Entity Name | Jewish Collaborative Services |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1073162202 PECOS PAC ID: 3274863683 Enrollment ID: O20190927002138 |
Mailing Address | Practice Location Address |
---|---|
Ms Joan Teresa Mancuso, MA 30 Monticello Rd Unit 2571, Pawtucket, RI 02861-7722 Ph: (401) 331-1244 | Ms Joan Teresa Mancuso, MA 1165 N Main St, Providence, RI 02904-5740 Ph: (401) 331-1244 |
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 |