Cameron Landry, | |
420 Fruit Hill Ave, North Providence, RI 02911-2647 | |
(401) 353-3900 | |
Not Available |
Full Name | Cameron Landry |
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Gender | Male |
Speciality | Social Worker - Clinical |
Location | 420 Fruit Hill Ave, North Providence, 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 |
---|---|---|---|
1972367050 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | CSW03263 (Rhode Island) | Primary |
Entity Name | Blackstone Valley Community Health Care Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1063574135 PECOS PAC ID: 8628045762 Enrollment ID: O20040916000775 |
Mailing Address | Practice Location Address |
---|---|
Cameron Landry, 43 Sheffield Ave, Providence, RI 02911-3329 Ph: (401) 256-1089 | Cameron Landry, 420 Fruit Hill Ave, North Providence, RI 02911-2647 Ph: (401) 353-3900 |
Christine L Constantineau, CSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 200 High Service Ave, North Providence, RI 02904 Phone: 401-456-3000 | |
Mandy Lecomte, LICSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 35 Dorman Avenue, North Providence, RI 02904 Phone: 401-263-2885 | |
Evan T Davis, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1190 Charles St, North Providence, RI 02904 Phone: 914-258-1841 | |
Lucely D Rodriguez, Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 6 Utter St, North Providence, RI 02904 Phone: 401-376-3097 | |
Erin Lemre, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 420 Fruit Hill Ave, North Providence, RI 02911 Phone: 401-353-3900 Fax: 401-354-7986 | |
Ms. Michelle Nuey, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1635 Mineral Spring Ave Ste 206, North Providence, RI 02904 Phone: 401-284-7115 | |
Mrs. Mara Rosa Olink, MSW, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 420 Fruit Hill Ave, North Providence, RI 02911 Phone: 401-353-3900 Fax: 401-784-3549 |