| Gabriel Corens Licsw | |
|
594 Charles St # 10 Providence RI 02904-1370 | |
| (857) 201-0403 | |
| Not Available |
| Full Name | Gabriel Corens Licsw |
|---|---|
| Speciality | Social Worker |
| Location | 594 Charles St # 10, Providence, Rhode Island |
| Authorized Official Name and Position | Gabriel F Corens (DIRECTOR) |
| Authorized Official Contact | 8572010403 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Gabriel Corens Licsw 594 Charles St # 10 Providence RI 02904-1370 Ph: () - | Gabriel Corens Licsw 594 Charles St # 10 Providence RI 02904-1370 Ph: (857) 201-0403 |
| NPI Number | 1245911668 |
|---|---|
| Provider Enumeration Date | 07/27/2023 |
| Last Update Date | 02/14/2024 |
| Certification Date | 02/14/2024 |
| Medicare PECOS PAC ID | 3072056720 |
|---|---|
| Medicare Enrollment ID | O20240621003087 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245911668 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Gabriel Corens |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1790233369 PECOS PAC ID: 9830518893 Enrollment ID: I20240621003126 |
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