| Day One | |
|
100 Medway St Providence RI 02906-4402 | |
| (401) 421-4100 | |
| (401) 454-5565 |
| Full Name | Day One |
|---|---|
| Speciality | Social Worker |
| Location | 100 Medway St, Providence, Rhode Island |
| Authorized Official Name and Position | Kathleen Hoyos (FINANCE & BILLING SPECIALIST) |
| Authorized Official Contact | 4014214100 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Day One 100 Medway St Providence RI 02906-4402 Ph: (401) 421-4100 | Day One 100 Medway St Providence RI 02906-4402 Ph: (401) 421-4100 |
| NPI Number | 1164633038 |
|---|---|
| Provider Enumeration Date | 05/24/2007 |
| Last Update Date | 11/01/2023 |
| Certification Date | 11/01/2023 |
| Medicare PECOS PAC ID | 4880589217 |
|---|---|
| Medicare Enrollment ID | O20040216000964 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164633038 | NPI | - | NPPES |
| 1021010 | Other | RI | NEIGHBORHOOD HEALTH PLAN |
| 9007426 | Medicaid | RI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
| Provider Name | Jeanne M Cerrone |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1427177757 PECOS PAC ID: 1557263407 Enrollment ID: I20040122000445 |
| Provider Name | Deborah A Chick |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1801915285 PECOS PAC ID: 5395906200 Enrollment ID: I20120419000339 |
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