| Geriatric Clinical Services Inc | |
|
110 Slater Park Ave Pawtucket RI 02861-3214 | |
| (401) 316-4425 | |
| (401) 722-2363 |
| Full Name | Geriatric Clinical Services Inc |
|---|---|
| Speciality | Social Worker |
| Location | 110 Slater Park Ave, Pawtucket, Rhode Island |
| Authorized Official Name and Position | Marta Rosol (OWNER) |
| Authorized Official Contact | 4013164425 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Geriatric Clinical Services Inc 110 Slater Park Ave Pawtucket RI 02861-3214 Ph: (401) 316-4425 | Geriatric Clinical Services Inc 110 Slater Park Ave Pawtucket RI 02861-3214 Ph: (401) 316-4425 |
| NPI Number | 1982297479 |
|---|---|
| Provider Enumeration Date | 02/16/2021 |
| Last Update Date | 02/16/2021 |
| Certification Date | 02/16/2021 |
| Medicare PECOS PAC ID | 1052794609 |
|---|---|
| Medicare Enrollment ID | O20220816000344 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982297479 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Marta E Rosol |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1699010751 PECOS PAC ID: 2668769696 Enrollment ID: I20160920000142 |
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