| Jazlyn Mitchell, | |
|
45 Industrial Rd Ste 100, Cumberland, RI 02864-4742 | |
| (401) 830-4426 | |
| Not Available |
| Full Name | Jazlyn Mitchell |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 45 Industrial Rd Ste 100, Cumberland, 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 |
|---|---|---|---|
| 1700487188 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Entity Name | Supportive Care I Of Rhode Island Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1912666454 PECOS PAC ID: 1951793546 Enrollment ID: O20220111000885 |
| Mailing Address | Practice Location Address |
|---|---|
| Jazlyn Mitchell, 435 Laurel Hill Ave, Cranston, RI 02920-7644 Ph: (401) 243-7105 | Jazlyn Mitchell, 45 Industrial Rd Ste 100, Cumberland, RI 02864-4742 Ph: (401) 830-4426 |
Kelly M Richman, LICSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 17 Ashton Pkwy, Suite 201, Cumberland, RI 02864 Phone: 401-578-8495 Fax: 401-921-5493 | |
Elizabeth Rosenfield, MSW, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 175 Nate Whipple Hwy Ste 202, Cumberland, RI 02864 Phone: 781-891-0556 | |
Sweila Varela Cardoso, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 19 Meeting St, Cumberland, RI 02864 Phone: 857-417-2643 | |
Ms. Michelle A Mathiesen, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2343 Diamond Hill Rd, Cumberland, RI 02864 Phone: 401-333-5999 Fax: 401-333-5988 | |
Faith Norton, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2081 Diamond Hill Rd, Cumberland, RI 02864 Phone: 401-376-9605 | |
Ms. Dianne Lynn Moynihan, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 31 Stream View Dr, Cumberland, RI 02864 Phone: 774-331-5579 | |
Mrs. Amy Polanco, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 9 Beachwood Dr, Cumberland, RI 02864 Phone: 401-477-9748 |