SHALISSA ROSE COUTOULAKIS


Address: 304 Beverage Hill Ave, Pawtucket, RI 02861-4462
Phone: 4014843012

SHALISSA ROSE COUTOULAKIS (NPI# 1164058202) 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) 1164058202
Entity Type Individual
Full Name SHALISSA ROSE COUTOULAKIS
Credential LCSW
Practice Address 304 Beverage Hill Ave
Pawtucket
RI 02861-4462
Practice Telephone 4014843012
Enumeration Date 2020-03-20
Last Update Date 2020-03-20
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1041C0700X Social Worker
Specialization: Clinical
CSW02399 RI Behavioral Health & Social Service Providers

Office Location

Street Address 304 BEVERAGE HILL AVE
City PAWTUCKET
State RI
Zip Code 02861-4462

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1629525209 Brianna Laurila Dietitian, Registered 541 Cottage Street, Pawtucket, RI 02861 2016-09-01
1790056430 Matthew J Lavoie Physician Assistant 70 Gill Ave., Pawtucket Center, Genesis Health Care, Pawtucket, RI 02861 2012-01-25
1356359293 Anita N Vasvani Dentist 140 Newport Ave, Pawtucket, RI 02861 2006-08-04
1548294408 Stop and Shop Supermarket Co LLC Pharmacy 368398 Cottage Street, Pawtucket, RI 02861 2006-07-10
1154363695 Levis M Guzman Internal Medicine 139 Benefit St, Pawtucket, RI 02861 2006-06-11
1265938179 Modern Eyes LLC Optometrist 145 Newport Ave, Pawtucket, RI 02861 2018-04-01
1942313929 Abbas Ghorieshi Dentist 115 Newport Ave, Pawtucket, RI 02861 2006-08-16
1114499506 Arts, Sports, and Technology Resource Organization Poetry Therapist 175 Coyle Ave, Pawtucket, RI 02861-1007 2018-12-22
1235600255 Abdoulaye Soumahoro Driver 68 Webster St, Pawtucket, RI 02861-1016 2018-12-17
1376761544 Professional Internal Medicine Associates Inc Internal Medicine 139 Benefit St, Pawtucket, RI 02861-1024 2007-04-23
Find all providers in zip 02861

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
1205434016 Melissa Veras Martinez Social Worker 249 Roosevelt Ave Ste 205, Pawtucket, RI 02860-2134 2020-10-14
1902413701 Andrew Leonard Social Worker 367 Orient Ave, Pawtucket, RI 02861-2251 2020-09-25
1003454778 Rebecca Jean-mee Savi Social Worker 242 Dexter St, Pawtucket, RI 02860-1908 2019-12-12
1689131344 Paula C Coutinho Social Worker 24 Albert St, Pawtucket, RI 02861-2402 2019-02-28
1124503149 Margot Alice Summerhill Social Worker 71 Alfred Stone Rd, Pawtucket, RI 02860-6111 2018-09-25
1184108409 Tenial Howard Social Worker 36 French St, Pawtucket, RI 02860-4212 2018-09-21
1598284911 Kristen Fox Social Worker 200 Main St Ste 210, Pawtucket, RI 02860-4119 2017-09-18
1134663768 Esperanza Counseling Center LLC Social Worker 150 Main St # Ll1, Pawtucket, RI 02860-4130 2016-12-16
1194122044 Kayla Smith Social Worker 101 - 103 Bacon Street, Pawtucket, RI 02860 2014-11-20
1205238359 Abby Antwi Social Worker 110 Armistice Blvd, Pawtucket, RI 02860-5354 2014-09-19
Find all providers in PAWTUCKET

Competitor

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City PAWTUCKET
Zip Code 02861

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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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