Ms Mary Jane Pizza, MSW, LICSW, LCDP is a
Social Worker - Clinical based in Providence, Rhode Island. Ms Mary Jane Pizza is licensed to practice in Rhode Island (license number ISW01284) and her current practice location is
2 Dudley St Ste 375moc, Providence, Rhode Island. She can be reached at her office (for appointments etc.) via phone at
(401) 606-8530.
NPI number for Ms Mary Jane Pizza is 1386607893 and her current mailing address is 117 Ellenfield St Ste 101, Providence, Rhode Island. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1386607893.
Healthcare Provider's Profile
| Full Name | Ms Mary Jane Pizza |
|---|
| Gender | Female |
|---|
| Speciality | Social Worker - Clinical |
|---|
| Location | 2 Dudley St Ste 375moc, Providence, Rhode Island |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1386607893
- Provider Enumeration Date: 04/07/2006
- Last Update Date: 11/13/2023
Medical Identifiers
Medical identifiers for Ms Mary Jane Pizza such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1386607893 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | CDP00331 (Rhode Island) | Secondary |
| 1041C0700X | Social Worker - Clinical | ISW01284 (Rhode Island) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ms Mary Jane Pizza is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Ms Mary Jane Pizza, MSW, LICSW, LCDP
117 Ellenfield St Ste 101,
Providence, RI 02905-4541
Ph: () - | Ms Mary Jane Pizza, MSW, LICSW, LCDP
2 Dudley St Ste 375moc,
Providence, RI 02905-3236
Ph: (401) 606-8530 |
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