| Susan Malone, LMHC, ATR | |
|
24 Salt Pond Rd Ste H5, Wakefield, RI 02879-4337 | |
| (401) 364-7705 | |
| (401) 364-3310 |
| Full Name | Susan Malone |
|---|---|
| Gender | Female |
| Speciality | Counselor - Mental Health |
| Location | 24 Salt Pond Rd Ste H5, Wakefield, 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 |
|---|---|---|---|
| 1023653862 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | MHC01007 (Rhode Island) | Primary |
| Entity Name | Gateway Healthcare Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1821078932 PECOS PAC ID: 7719874908 Enrollment ID: O20040302001066 |
| Mailing Address | Practice Location Address |
|---|---|
| Susan Malone, LMHC, ATR 117 Ellenfield St Ste 101, Providence, RI 02905-4541 Ph: () - | Susan Malone, LMHC, ATR 24 Salt Pond Rd Ste H5, Wakefield, RI 02879-4337 Ph: (401) 364-7705 |
Susan Charlotte Jacobsen, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 64 Indian Run Trl, Wakefield, RI 02879 Phone: 401-742-1430 | |
Chad Coffin, MA Counselor Medicare: Medicare Enrolled Practice Location: 23 North Rd Ste A28, Wakefield, RI 02879 Phone: 401-206-0493 | |
Mrs. Terese Tanski Gregg, LICSW Counselor Medicare: Medicare Enrolled Practice Location: 751 Saugatucket Rd # A13, Wakefield, RI 02879 Phone: 401-440-5987 | |
Karen Nicole Sweeney, BS Counselor Medicare: Not Enrolled in Medicare Practice Location: 55 Cherry Ln, Wakefield, RI 02879 Phone: 401-789-1367 Fax: 401-789-6744 | |
Camille C Wingate, LPCC,LMFT Counselor Medicare: Medicare Enrolled Practice Location: 1 River St, Wakefield, RI 02879 Phone: 401-767-4100 | |
Ms. Kathy K. Swink, MA, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1980 Ministerial Rd, Wakefield, RI 02879 Phone: 401-783-0960 Fax: 401-789-5560 |