| Elaine Martin, Licsw, Llc | |
|
120 Wayland Ave Suite 1 Providence RI 02906-4318 | |
| (401) 354-9372 | |
| (401) 709-3776 |
| Full Name | Elaine Martin, Licsw, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 120 Wayland Ave, Providence, Rhode Island |
| Authorized Official Name and Position | Elaine Louise Martin (SOLE MEMBER) |
| Authorized Official Contact | 4013549372 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Elaine Martin, Licsw, Llc 39 Townsend St Barrington RI 02806-1417 Ph: (401) 354-9372 | Elaine Martin, Licsw, Llc 120 Wayland Ave Suite 1 Providence RI 02906-4318 Ph: (401) 354-9372 |
| NPI Number | 1255732111 |
|---|---|
| Provider Enumeration Date | 09/10/2014 |
| Last Update Date | 09/10/2014 |
| Medicare PECOS PAC ID | 8224352943 |
|---|---|
| Medicare Enrollment ID | O20150128000880 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255732111 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 000638ISW (Rhode Island) | Primary |
| Provider Name | Elaine Louise Martin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1639187461 PECOS PAC ID: 5991769598 Enrollment ID: I20041115000010 |
One Step At A Time Counseling Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 70 Kinfield St, Providence, RI 02909 Phone: 401-871-2379 | |
Tides Of Mind Counseling Of Rhode Island Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 245 Waterman St Ste 200, Providence, RI 02906 Phone: 401-369-8192 | |
Because I Matter Wellness Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 120 Wayland Ave, Suite 4b, Providence, RI 02906 Phone: 401-431-2953 | |
Providence Behavioral Health Associates Inc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 1075 Smith St, Providence, RI 02908 Phone: 401-369-9224 Fax: 401-369-9275 | |
Testing Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 80 Washington St, 303, Providence, RI 02903 Phone: 401-277-5180 | |
The Wellness Center Ri, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 400 Reservoir Ave, Suite 2k, Providence, RI 02907 Phone: 401-461-9355 Fax: 401-784-9609 | |
Whidbeyhealth Telehealth Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 95 Lorimer Ave, Providence, RI 02906 Phone: 360-678-5151 Fax: 360-678-7676 |