MARA REICHENBERG


Address: 146 W River St, Providence, RI 02904-2609
Phone: 4017937020

MARA REICHENBERG (NPI# 1134599343) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1134599343
Entity Type Individual
Full Name MARA REICHENBERG
Credential LICSW
Practice Address 146 W River St
Providence
RI 02904-2609
Practice Telephone 4017937020
Enumeration Date 2015-09-30
Last Update Date 2018-03-17
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1041C0700X Social Worker
Specialization: Clinical
ISW02760 RI Behavioral Health & Social Service Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
520 Hope St, Providence, RI 029062532 4012287257

Office Location

Street Address 146 W RIVER ST
City PROVIDENCE
State RI
Zip Code 02904-2609

Providers in the same location

NPI Name Taxonomy Address Enumeration
1184609398 Michael A Friedman Psychiatry & Neurology 146 W River St, Suite 11b, Providence, RI 02904-2609 2005-12-09
1962981357 Erin Colleen Murphy Bernardo Nurse Practitioner 146 W River St, Providence, RI 02904-2609 2018-08-07
1679069652 Leanna Olitsky Social Worker 146 W River St, Providence, RI 02904-2609 2018-07-02
1225497076 Jean Capone Nurse Practitioner 146 W River St, Suite 11a, Providence, RI 02904-2609 2016-02-22
1235594797 Anna Elizabeth Schierberl Scherr Psychologist 146 W River St, Suite 11a, Providence, RI 02904-2609 2015-12-28
1982099784 Margaret Bublitz Psychologist 146 W River St, Providence, RI 02904-2609 2015-03-30
1104253566 Jared Devin Minkel Psychologist 146 W River St, Providence, RI 02904-2609 2013-10-01
1598107260 Indira Sadhu Physician Assistant 146 W River St, Providence, RI 02904-2609 2013-07-23
1346686102 Audrey Maria Boyle Nurse Practitioner 146 W River St, Suite 11d, Providence, RI 02904-2609 2013-05-20
1962745208 Katie Anne Lester Dietitian, Registered 146 W River St, 3rd Floor, Providence, RI 02904-2609 2013-04-05
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1144792383 Lifespan Pharmacy LLC Durable Medical Equipment & Medical Supplies 180 Corliss Street, Suite A, Providence, RI 02904 2018-12-28
1780168229 Beth M. Kalunian Social Worker 480 Charles Street, Providence, RI 02904 2018-09-20
1588161608 Michael P. Johnson, Md, Inc Internal Medicine 148 W River St Ste 22b, Providence, RI 02904 2018-04-06
1780045948 Fred Saccoccio Pharmacist 15 Smithfield Road, No Providence, RI 02904 2016-03-16
1699148999 Latin Adult Day Health Care Center Clinic/Center 665 Charles Street, Providence, RI 02904 2015-11-09
1144639956 Dina P Toolin Occupational Therapist 195 Collyer St. 3rd Floor, University Medical Center/miriam Hospital Outpatient, Providence, RI 02904 2014-08-06
1801208798 Seth Clark Internal Medicine 200 Corliss St, Providence, RI 02904 2014-05-27
1134554645 Molly Elizabeth Smith Physical Therapist 1405 Douglas Ave, North Providence, RI 02904 2013-09-04
1336408723 Emad Awa Pediatrics 1 Randall Sq Ste 404, Providence, RI 02904 2012-05-07
1598036790 Joseph F. Osmanski, Od, Inc Optometrist 1971 Mineral Spring Avenue, N. Providence, RI 02904 2012-01-19
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Taxonomy Information

Taxonomy Code 1041C0700X
Grouping Behavioral Health & Social Service Providers
Classification Social Worker
Specialization Clinical

Taxonomy Definition

A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1396351714 Live You Well LLC Social Worker 1 Richmond Sq Ste 132c, Providence, RI 02906-5140 2020-09-21
1093328262 Esther Robbins Social Worker 290 West Exchange St., Suite 100, Providence, RI 02903 2020-08-27
1295362671 Elliot Ruggles Social Worker 101 Tobey St, Providence, RI 02909-1830 2020-03-25
1497380190 Rebecca Anne King Social Worker 225 Stonehenge Cir, Providence, UT 84332-9200 2020-03-03
1740820919 Georgina Dauda Social Worker 42 Rutherglen Ave, Providence, RI 02907-3523 2020-01-15
1982255972 Nicole A Faison Social Worker 1 Richmond Sq Ste 305w, Providence, RI 02906-5141 2019-09-22
1336795053 Caitlin Beatrice Frumerie Social Worker 130 Vinton St Fl 2, Providence, RI 02909-1134 2019-08-19
1447802707 Natalie Monaghan, LLC Social Worker 545 South Water Street, Providence, RI 02903 2019-07-16
1760940449 Julie Anna-marie Panton Social Worker 205 Waterman St Ste 205, Providence, RI 02906-4313 2019-03-12
1962976571 Nike A. Kendall Social Worker Program In Women's Oncology, 101 Dudley Street, Providence, RI 02905 2019-01-16
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Competitor

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City PROVIDENCE
Zip Code 02904

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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