| Michael D Macedo, LICSW | |
|
900 Douglas Pike Ste 220, Smithfield, RI 02917-1879 | |
| (401) 452-0123 | |
| (401) 941-7847 |
| Full Name | Michael D Macedo |
|---|---|
| Gender | Male |
| Speciality | Clinical Social Worker |
| Experience | 9 Years |
| Location | 900 Douglas Pike Ste 220, Smithfield, Rhode Island |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578005625 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | ISW03168 (Rhode Island) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| East Bay Community Action Program | 1951298595 | 29 |
| Child And Family Psychiatry, Inc. | 5294173464 | 56 |
| Entity Name | East Bay Community Action Program |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1609925122 PECOS PAC ID: 1951298595 Enrollment ID: O20040301000102 |
| Entity Name | Comprehensive Community Action, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1366441719 PECOS PAC ID: 0749176055 Enrollment ID: O20040312000668 |
| Entity Name | Inner You Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1225464209 PECOS PAC ID: 7113241142 Enrollment ID: O20150123000044 |
| Mailing Address | Practice Location Address |
|---|---|
| Michael D Macedo, LICSW 249 Roosevelt Ave, Pawtucket, RI 02860-2134 Ph: () - | Michael D Macedo, LICSW 900 Douglas Pike Ste 220, Smithfield, RI 02917-1879 Ph: (401) 452-0123 |
Dr. Jayashree Nimmagadda, MSW, PH.D, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 25 Thurber Blvd, Smithfield, RI 02917 Phone: 401-233-1634 | |
Ms. Karen K. Mckenzie, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 25 Thurber Blvd. Unit #2, Smithfield, RI 02917 Phone: 401-233-1634 Fax: 401-233-1674 | |
Mrs. Jessica Lyn Mcguire, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 900 Douglas Pike Ste 220, Smithfield, RI 02917 Phone: 401-452-0123 Fax: 401-941-7847 | |
Domenic Raymond Lancellotta, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 46 Elmgrove Ave, Smithfield, RI 02917 Phone: 401-487-3834 | |
Carol Sue Crowther, LICSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 910 Douglas Pike, Smithfield, RI 02917 Phone: 401-459-6176 | |
Claire Pelham, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 23 Lakeside Dr, Smithfield, RI 02917 Phone: 401-487-5111 |