| Mr Mark Daniel Pfeiffer, LICSW | |
|
355 Prairie Ave, Providence, RI 02905-1928 | |
| (401) 444-0570 | |
| (401) 444-0427 |
| Full Name | Mr Mark Daniel Pfeiffer |
|---|---|
| Gender | Male |
| Speciality | Clinical Social Worker |
| Experience | 20 Years |
| Location | 355 Prairie Ave, Providence, 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 |
|---|---|---|---|
| 1447433016 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | ISW02723 (Rhode Island) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| The Providence Community Health Centers Inc. | 9335050962 | 82 |
| Entity Name | The Providence Community Health Centers Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1053313593 PECOS PAC ID: 9335050962 Enrollment ID: O20040608000007 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Mark Daniel Pfeiffer, LICSW 375 Allens Avenue, Providence, RI 02905-5010 Ph: (401) 444-0400 | Mr Mark Daniel Pfeiffer, LICSW 355 Prairie Ave, Providence, RI 02905-1928 Ph: (401) 444-0570 |
Kelly Baraf, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 49 Pavilion Ave, Suite 105, Providence, RI 02905 Phone: 401-490-8900 Fax: 401-490-2619 | |
Margarita Caballero-snyder, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1 Richmond Sq Ste 121a, Providence, RI 02906 Phone: 401-447-6590 Fax: 401-434-3273 | |
Amanda Baldaro, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 593 Eddy St., Providence, RI 02903 Phone: 401-444-4179 | |
Emily Myer, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 434 Mount Pleasant Ave, Providence, RI 02908 Phone: 888-612-7242 Fax: 401-444-0421 | |
Robert B Hagberg, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 153 Summer St, Providence, RI 02903 Phone: 401-276-4300 Fax: 041-331-3285 | |
Ms. Christina Stang, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 101 Plain St Fl 6, Providence, RI 02903 Phone: 401-274-1122 Fax: 401-453-7622 | |
Elizabeth Sevin, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 830 Chalkstone Ave, Providence, RI 02908 Phone: 401-723-7100 |