| Jeffrey Daniel Hirsch, | |
|
640 George Washington Highway Bldg B Suite 103, Lincoln, RI 02865 | |
| (401) 286-1917 | |
| (866) 899-3402 |
| Full Name | Jeffrey Daniel Hirsch |
|---|---|
| Gender | Male |
| Speciality | Social Worker - Clinical |
| Location | 640 George Washington Highway Bldg B Suite 103, Lincoln, 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 |
|---|---|---|---|
| 1649989799 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | ISW03684 (Rhode Island) | Primary |
| Entity Name | Northern Rhode Island Cognitive Behavioral Therapy Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1558752014 PECOS PAC ID: 6800114240 Enrollment ID: O20150414001801 |
| Mailing Address | Practice Location Address |
|---|---|
| Jeffrey Daniel Hirsch, 6 Snowberry Ct, Smithfield, RI 02917-4000 Ph: () - | Jeffrey Daniel Hirsch, 640 George Washington Highway Bldg B Suite 103, Lincoln, RI 02865 Ph: (401) 286-1917 |
Lori Wiesner, M.S.W., L.I.C.S.W. Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 304 Front St, Lincoln, RI 02865 Phone: 401-725-9400 Fax: 401-725-9424 | |
Rebecca Small, MSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 6 Blackstone Valley Pl, Lincoln, RI 02865 Phone: 401-245-6421 Fax: 860-599-2569 | |
Tara Rowe, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1992 Old Louisquisset Pike, Lincoln, RI 02865 Phone: 401-475-0653 Fax: 401-475-0729 | |
Margarida Veiga, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1992 Old Louisquisset Pike, Lincoln, RI 02865 Phone: 401-475-0653 | |
Mrs. Susan Marie Montella-jelley, L.I.C.S.W. Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 101 Higginson Ave Ste 107d, Lincoln, RI 02865 Phone: 508-369-8904 | |
Colleen Mary Dusel, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1992 Old Louisquisset Pike, Lincoln, RI 02865 Phone: 401-475-0653 Fax: 401-475-0729 | |
Emersyn Goetz, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 132 Old River Rd, Suite 100, Lincoln, RI 02865 Phone: 781-327-0827 |