Jermaine Porter, | |
186 Providence St, West Warwick, RI 02893-2508 | |
(401) 615-2800 | |
Not Available |
Full Name | Jermaine Porter |
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Gender | Male |
Speciality | Counselor - Mental Health |
Location | 186 Providence St, West Warwick, 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 |
---|---|---|---|
1821778705 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | CSW03304 (Rhode Island) | Primary |
Entity Name | Tri-county Community Action Agency |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1396780086 PECOS PAC ID: 0648171181 Enrollment ID: O20040116000778 |
Entity Name | Thundermist Health Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1700041001 PECOS PAC ID: 1557270477 Enrollment ID: O20040211000909 |
Mailing Address | Practice Location Address |
---|---|
Jermaine Porter, 186 Providence St, West Warwick, RI 02893-2508 Ph: (401) 615-2800 | Jermaine Porter, 186 Providence St, West Warwick, RI 02893-2508 Ph: (401) 615-2800 |
Sara Wye, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 129 E Greenwich Ave, West Warwick, RI 02893 Phone: 401-821-0929 Fax: 401-821-0929 | |
Margaret Q Andruchow, MS, APRN-BC Counselor Medicare: Medicare Enrolled Practice Location: 3 Lancer Ln, West Warwick, RI 02893 Phone: 401-885-1681 | |
Alice M Colon, Counselor Medicare: Medicare Enrolled Practice Location: 186 Providence St, West Warwick, RI 02893 Phone: 401-615-2800 | |
Mrs. Jennifer Ann Ramieri, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 74 Pawtuxet Ter, West Warwick, RI 02893 Phone: 401-743-5484 Fax: 401-826-7733 | |
Mrs. Courtney Rose Threats, LICSW, AADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3 Whispering Pines Ct, West Warwick, RI 02893 Phone: 401-854-8334 | |
Dr. William E. Lancellotti Jr., LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 207 Quaker Ln Ste 302, West Warwick, RI 02893 Phone: 401-398-7681 Fax: 401-615-9908 | |
Ms. Lexsey Almeida, Counselor Medicare: Medicare Enrolled Practice Location: 186 Providence St, West Warwick, RI 02893 Phone: 401-615-2800 |