Susan D Mandel, LICSW MSW | |
420 Fruit Hill Ave, North Providence, RI 02911-2647 | |
(401) 783-3550 | |
(401) 783-3550 |
Full Name | Susan D Mandel |
---|---|
Gender | Female |
Speciality | Clinical Social Worker |
Experience | 49 Years |
Location | 420 Fruit Hill Ave, North Providence, Rhode Island |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1528163920 | NPI | - | NPPES |
PR016899-1 | Other | NY | LICENSE |
ISW01776 | Other | RI | LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | ISW01776 (Rhode Island) | Primary |
101YM0800X | Counselor - Mental Health | PR0168991 (New York) | Secondary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Delta Consultants Of South County Inc | 8426063553 | 9 |
Entity Name | Delta Consultants Of South County Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1194877621 PECOS PAC ID: 8426063553 Enrollment ID: O20060210000553 |
Mailing Address | Practice Location Address |
---|---|
Susan D Mandel, LICSW MSW 420 Fruit Hill Ave, North Providence, RI 02911-2647 Ph: () - | Susan D Mandel, LICSW MSW 420 Fruit Hill Ave, North Providence, RI 02911-2647 Ph: (401) 783-3550 |
Celestina Okai, Counselor Medicare: Not Enrolled in Medicare Practice Location: 102 Bellevue Ave, North Providence, RI 02911 Phone: 401-837-6708 | |
Jonathan Mccarthy, M.A. Counselor Medicare: Not Enrolled in Medicare Practice Location: 420 Fruit Hill Ave, North Providence, RI 02911 Phone: 401-651-3702 Fax: 401-354-7986 | |
Mr. Jeffrey Leonard Bibeau, MAST Counselor Medicare: Not Enrolled in Medicare Practice Location: 429 Fruit Hill Ave, North Providence, RI 02911 Phone: 401-353-3900 Fax: 401-354-7986 | |
Mrs. Kelly Lynn Tufano, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 92 Cottage Ave, North Providence, RI 02911 Phone: 401-286-8924 | |
Miss Jennifer Mary Prendergast, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 420 Fruit Hill Ave, North Providence, RI 02911 Phone: 401-353-3900 Fax: 401-354-7986 | |
Ms. Helene Penza, MA CAGS ACS Counselor Medicare: Not Enrolled in Medicare Practice Location: 150 High Service Avenue, North Providence, RI 02911 Phone: 401-354-4318 Fax: 401-354-0018 | |
Ms. Angelica Spirito, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 420 Fruit Hill Ave., North Providence, RI 02911 Phone: 401-353-3900 Fax: 401-784-3549 |