| Ivy Medeiros, LICSW | |
|
245 Main St, Woonsocket, RI 02895-3123 | |
| (401) 235-7000 | |
| (401) 767-4516 |
| Full Name | Ivy Medeiros |
|---|---|
| Gender | Female |
| Speciality | Clinical Social Worker |
| Experience | 29 Years |
| Location | 245 Main St, Woonsocket, Rhode Island |
| Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831610344 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | ISW02077 (Rhode Island) | Primary |
| Entity Name | Infinite Revival, PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1467282061 PECOS PAC ID: 3274060140 Enrollment ID: O20241217003363 |
| Mailing Address | Practice Location Address |
|---|---|
| Ivy Medeiros, LICSW Po Box 1700, Woonsocket, RI 02895-0856 Ph: (401) 235-7000 | Ivy Medeiros, LICSW 245 Main St, Woonsocket, RI 02895-3123 Ph: (401) 235-7000 |
Beth Mancini, LICSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 154 Main St, Woonsocket, RI 02895 Phone: 508-373-4074 Fax: 401-235-9064 |
Laura Fidrych, Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 800 Clinton St, Woonsocket, RI 02895 Phone: 401-235-7000 Fax: 401-767-9177 |
Mathew Freimuth, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 800 Clinton St, Woonsocket, RI 02895 Phone: 401-235-7000 Fax: 401-767-9177 |
Bethany Killian, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 800 Clinton St, Woonsocket, RI 02895 Phone: 401-235-7000 Fax: 401-767-4516 |
Sandra Chito, MSW- LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 8o Fabian Street, Woonsocket, RI 02895 Phone: 401-309-3437 Fax: 401-775-1507 |
Bianca Jones, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 181 Cumberland St, Woonsocket, RI 02895 Phone: 401-235-7000 Fax: 401-767-4516 |
Justine Allenson, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 800 Clinton St, Woonsocket, RI 02895 Phone: 401-235-7000 |