| Granite Brook Farm Inc. | |
|
14 Harrington Rd Foster RI 02825-1217 | |
| (401) 489-8012 | |
| Not Available |
| Full Name | Granite Brook Farm Inc. |
|---|---|
| Speciality | Social Worker |
| Location | 14 Harrington Rd, Foster, Rhode Island |
| Authorized Official Name and Position | Janelle L Shannon (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 4014898012 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Granite Brook Farm Inc. 14 Harrington Rd Foster RI 02825-1217 Ph: (401) 489-8012 | Granite Brook Farm Inc. 14 Harrington Rd Foster RI 02825-1217 Ph: (401) 489-8012 |
| NPI Number | 1952118747 |
|---|---|
| Provider Enumeration Date | 12/16/2024 |
| Last Update Date | 01/09/2025 |
| Certification Date | 01/09/2025 |
| Medicare PECOS PAC ID | 8921523903 |
|---|---|
| Medicare Enrollment ID | O20250423000060 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952118747 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Janelle Shannon |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1811388283 PECOS PAC ID: 3577880053 Enrollment ID: I20150320001527 |
Rising Hope Counseling Services, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 153 Old Plainfield Pike, Foster, RI 02825 Phone: 401-618-4494 |