| Diane Lynn Marolla, DIANE | |
|
1598 S County Trl Ste 102, East Greenwich, RI 02818-1762 | |
| (401) 369-9224 | |
| (401) 369-9275 |
| Full Name | Diane Lynn Marolla |
|---|---|
| Gender | Female |
| Speciality | Clinical Social Worker |
| Experience | 26 Years |
| Location | 1598 S County Trl Ste 102, East Greenwich, Rhode Island |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538646500 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | ISW01545 (Rhode Island) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Providence Behavioral Health Associates Inc | 3274798236 | 18 |
| Entity Name | Providence Behavioral Health Associates Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1023142700 PECOS PAC ID: 3274798236 Enrollment ID: O20120626000461 |
| Mailing Address | Practice Location Address |
|---|---|
| Diane Lynn Marolla, DIANE 1075 Smith St Ste 2, Providence, RI 02908-2700 Ph: () - | Diane Lynn Marolla, DIANE 1598 S County Trl Ste 102, East Greenwich, RI 02818-1762 Ph: (401) 369-9224 |
Amanda Cervone, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2843 S County Trl, East Greenwich, RI 02818 Phone: 401-728-1800 | |
Patricia Pearson, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 36 Laurel Hill Rd, East Greenwich, RI 02818 Phone: 401-864-3792 | |
Cynthia G. Wilson, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 70 Spencer Ave, East Greenwich, RI 02818 Phone: 401-885-2781 Fax: 401-885-2781 | |
Mrs. Marklyn Perry Champagne, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 126 Peirce St, East Greenwich, RI 02818 Phone: 401-886-0821 Fax: 401-886-0693 | |
Tara Gyra, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1485 S County Trl Ste 107, East Greenwich, RI 02818 Phone: 401-785-0040 | |
Ms. Lauren Miller, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2639 S County Trl, East Greenwich, RI 02818 Phone: 401-474-9475 | |
Ms. Melanie Clifford, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3285 S County Trl, East Greenwich, RI 02818 Phone: 203-500-2302 |