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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1041C0700X |
Social Worker Specialization: Clinical |
CSW02399 | RI | Behavioral Health & Social Service Providers |
Street Address |
304 BEVERAGE HILL AVE |
City | PAWTUCKET |
State | RI |
Zip Code | 02861-4462 |
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 Code | 1041C0700X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Social Worker |
Specialization | Clinical |
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] |
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 |
Please comment or provide details below to improve the information on SHALISSA ROSE COUTOULAKIS.
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.