| Tri-county Community Action Agency | |
|
1126 Hartford Ave Johnston RI 02919-7130 | |
| (401) 351-2750 | |
| (401) 351-6613 |
| Full Name | Tri-county Community Action Agency |
|---|---|
| Speciality | Clinic/Center |
| Location | 1126 Hartford Ave, Johnston, Rhode Island |
| Authorized Official Name and Position | Joseph R Desantis (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 4015191967 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Tri-county Community Action Agency 1126 Hartford Ave Johnston RI 02919-7130 Ph: (401) 351-2750 | Tri-county Community Action Agency 1126 Hartford Ave Johnston RI 02919-7130 Ph: (401) 351-2750 |
| NPI Number | 1396780086 |
|---|---|
| Provider Enumeration Date | 06/18/2006 |
| Last Update Date | 12/12/2023 |
| Certification Date | 12/12/2023 |
| Medicare PECOS PAC ID | 0648171181 |
|---|---|
| Medicare Enrollment ID | O20040116000778 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396780086 | NPI | - | NPPES |
| TT02485 | Medicaid | RI |
| Provider Name | Karen M Lachapelle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871892042 PECOS PAC ID: 4789857244 Enrollment ID: I20111027000607 |
| Provider Name | Suzanne E Lowe |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1457307258 PECOS PAC ID: 3870743412 Enrollment ID: I20121017000464 |
| Provider Name | Richard Chartier |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1265578058 PECOS PAC ID: 2062440951 Enrollment ID: I20130919000546 |
| Provider Name | Aaron C Ercole |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1982886438 PECOS PAC ID: 1153623426 Enrollment ID: I20160104000446 |
| Provider Name | Rebecca M Friedman |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1639331424 PECOS PAC ID: 6800018995 Enrollment ID: I20171013001531 |
| Provider Name | Patricia L Giarrusso |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538492525 PECOS PAC ID: 1759427131 Enrollment ID: I20171228000602 |
| Provider Name | Marcie E Diorio |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1306382932 PECOS PAC ID: 5092069385 Enrollment ID: I20181127001107 |
| Provider Name | Babak Ettekal |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548474778 PECOS PAC ID: 9739211343 Enrollment ID: I20200811000819 |
| Provider Name | Rose Michelle Tilus |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487273363 PECOS PAC ID: 8628498532 Enrollment ID: I20201014003674 |
| Provider Name | Mellissa Lacroix-dwyer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1790396935 PECOS PAC ID: 7214348390 Enrollment ID: I20201120001078 |
| Provider Name | Valerie Marie Almeida Monroe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275159501 PECOS PAC ID: 7517366404 Enrollment ID: I20210526000714 |
| Provider Name | Maryann Carter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245875434 PECOS PAC ID: 8921408253 Enrollment ID: I20221027000670 |
| Provider Name | Nikia A Dasilva-lopes |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1770205015 PECOS PAC ID: 4587024112 Enrollment ID: I20230714000831 |
| Provider Name | Jennifer Anne Caffrey |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1285113571 PECOS PAC ID: 5698199552 Enrollment ID: I20230724000668 |
| Provider Name | Cindia Arsenault |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1265105597 PECOS PAC ID: 6002277829 Enrollment ID: I20230726002541 |
| Provider Name | Tiffany Brown |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1922676055 PECOS PAC ID: 3274996046 Enrollment ID: I20230825002401 |
| Provider Name | Esther Morency |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477029460 PECOS PAC ID: 3072976372 Enrollment ID: I20230905001950 |
| Provider Name | Kelli Anne Welby |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235648163 PECOS PAC ID: 2567722093 Enrollment ID: I20230918002993 |
| Provider Name | Amanda Masi |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1922675164 PECOS PAC ID: 5395199459 Enrollment ID: I20230925000870 |
| Provider Name | Kasandra Henriques |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1265135099 PECOS PAC ID: 0941654891 Enrollment ID: I20230926001847 |
| Provider Name | Amanda Robbio |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952921488 PECOS PAC ID: 9638592652 Enrollment ID: I20240827000311 |
| Provider Name | Amir Yavari |
|---|---|
| Provider Type | Practitioner - Pediatric Dentistry |
| Provider Identifiers | NPI Number: 1194165167 PECOS PAC ID: 6103147400 Enrollment ID: I20250205002317 |
| Provider Name | Amira Omar |
|---|---|
| Provider Type | Practitioner - Pediatric Dentistry |
| Provider Identifiers | NPI Number: 1558887232 PECOS PAC ID: 0345508834 Enrollment ID: I20250221002213 |
| Provider Name | Yvonne Margaret Wolny |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1770656134 PECOS PAC ID: 4981124690 Enrollment ID: I20250225003279 |
| Provider Name | Daniel Joseph Kane |
|---|---|
| Provider Type | Practitioner - Pediatric Dentistry |
| Provider Identifiers | NPI Number: 1962501908 PECOS PAC ID: 3870883432 Enrollment ID: I20250307000694 |
| Provider Name | Matthew Westcott Downey |
|---|---|
| Provider Type | Practitioner - Pediatric Dentistry |
| Provider Identifiers | NPI Number: 1295028488 PECOS PAC ID: 8022539659 Enrollment ID: I20250311002961 |
| Provider Name | Mary Jaffarian |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1902923774 PECOS PAC ID: 9931498854 Enrollment ID: I20250328000378 |
The Journey To Hope, Health & Healing, Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 985 Plainfield Street, Johnston, RI 02919 Phone: 401-946-0650 Fax: 401-406-3771 | |
Tri-town Economic Opportunity Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1126 Hartford Ave, Johnston, RI 02919 Phone: 401-351-2750 Fax: 401-351-6613 | |
Peerpoint Recovery Residences Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 806 Greenville Ave, Johnston, RI 02919 Phone: 401-516-1314 | |
Gateway Healthcare, Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1443 Hartford Ave, Johnston, RI 02919 Phone: 401-553-1033 Fax: 401-861-8696 | |
Albert J. Marano, Md, Inc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 1239 Hartford Ave Ste 1, Johnston, RI 02919 Phone: 401-272-7660 Fax: 401-421-2730 | |
Delta Consultants West, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1395 Atwood Ave, Suite 213, Johnston, RI 02919 Phone: 401-944-9888 Fax: 401-944-5888 | |
Ocean State Counseling And Wellness Center Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1395 Atwood Ave, Suite 206, Johnston, RI 02919 Phone: 401-241-3344 Fax: 888-458-2467 |