| Jewish Collaborative Services | |
|
1165 N Main St Providence RI 02904-5740 | |
| (401) 331-1244 | |
| Not Available |
| Full Name | Jewish Collaborative Services |
|---|---|
| Speciality | Counselor |
| Location | 1165 N Main St, Providence, Rhode Island |
| Authorized Official Name and Position | Merelise A Hitte (CFO) |
| Authorized Official Contact | 4013311244 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jewish Collaborative Services 1165 N Main St Providence RI 02904-5740 Ph: (401) 331-1244 | Jewish Collaborative Services 1165 N Main St Providence RI 02904-5740 Ph: (401) 331-1244 |
| NPI Number | 1073162202 |
|---|---|
| Provider Enumeration Date | 09/10/2019 |
| Last Update Date | 09/30/2019 |
| Medicare PECOS PAC ID | 3274863683 |
|---|---|
| Medicare Enrollment ID | O20190927002138 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073162202 | NPI | - | NPPES |
| Provider Name | M G Dayian |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1316292378 PECOS PAC ID: 8022097609 Enrollment ID: I20040716000734 |
| Provider Name | Joan M Spencer |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1760450753 PECOS PAC ID: 5496726994 Enrollment ID: I20050218000036 |
| Provider Name | Rebecca M Gessow |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1255493904 PECOS PAC ID: 3173549755 Enrollment ID: I20051022000227 |
| Provider Name | Pauline Dwyer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1700971900 PECOS PAC ID: 0941302772 Enrollment ID: I20070226000639 |
| Provider Name | Jessica Fabiano |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1932200763 PECOS PAC ID: 5698851442 Enrollment ID: I20080319000623 |
| Provider Name | Patricia B Harwood |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1265465454 PECOS PAC ID: 1658409610 Enrollment ID: I20100512000418 |
| Provider Name | Tina Sheff |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1801811260 PECOS PAC ID: 2466583927 Enrollment ID: I20100627000015 |
| Provider Name | Karen Gager |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1467817601 PECOS PAC ID: 6103125646 Enrollment ID: I20160504001578 |
| Provider Name | Diana Huynh |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1831553841 PECOS PAC ID: 0244590800 Enrollment ID: I20180131000605 |
| Provider Name | Emily J Dimon |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1326560004 PECOS PAC ID: 9830450337 Enrollment ID: I20180226000484 |
| Provider Name | Tara Marie Watkins |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1508345778 PECOS PAC ID: 4981936416 Enrollment ID: I20191101000365 |
| Provider Name | Karin Camara |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1528526415 PECOS PAC ID: 3678987823 Enrollment ID: I20220208002393 |
| Provider Name | Kathryn Giardino |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1215670443 PECOS PAC ID: 8820470669 Enrollment ID: I20220727000091 |
| Provider Name | Allyson Marie Girouard |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1063121879 PECOS PAC ID: 0648629600 Enrollment ID: I20231215001558 |
| Provider Name | Joan Teresa Mancuso |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1457904435 PECOS PAC ID: 1951754746 Enrollment ID: I20240129001351 |
| Provider Name | Sarah Hannagan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1184311581 PECOS PAC ID: 5799214920 Enrollment ID: I20250131003328 |
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