PEACEFUL MIND, INC.


Address: 120 Wayland Ave, Providence, RI 02906-4318
Phone: 4012732858

PEACEFUL MIND, INC. (NPI# 1942520861) 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) 1942520861
Entity Type Organization
Organization Name PEACEFUL MIND, INC.
Practice Address 120 Wayland Ave
Providence
RI 02906-4318
Practice Telephone 4012732858
Practice Fax Number 8436676687
Mailing Telephone 4012732858
Mailing Fax Number 8436676687
Enumeration Date 2010-06-02
Last Update Date 2010-06-02
Authorized Official Name CECILIA M DIETZLER (OWNER)
Authorized Official Telephone 4012732858
Authorized Official Credential LICSW
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1041C0700X Social Worker
Specialization: Clinical
ISW00899 RI Behavioral Health & Social Service Providers

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1770858755 Peaceful Mind, Inc. Behavioral Analyst 3220 S Higuera St, Ste 205, San Luis Obispo, CA 93401-6987 2012-03-09

Office Location

Street Address 120 WAYLAND AVE
City PROVIDENCE
State RI
Zip Code 02906-4318

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NPI Name Taxonomy Address Enumeration
1013991462 Because I Matter Wellness Inc Social Worker 120 Wayland Ave, Suite 4b, Providence, RI 02906-4318 2005-11-30
1265974208 Regina Cobb Community Health Worker 120 Wayland Ave, Suite #6, Providence, RI 02906-4318 2016-11-08
1255732111 Elaine Martin, Licsw, LLC Social Worker 120 Wayland Ave, Suite 1, Providence, RI 02906-4318 2014-09-10
1578711990 Counseling and Neurofeedback Center, Inc. Social Worker 120 Wayland Ave, Suite 1, Providence, RI 02906-4318 2008-08-28
1801071311 Cecilia Marie Dietzler Social Worker 120 Wayland Ave, Suite 4b, Providence, RI 02906-4318 2008-01-02
1376662007 Mary C Mueller Social Worker 120 Wayland Ave, Providence, RI 02906 2007-03-27
1861551376 Mitchell Dondey Psychologist 120 Wayland Ave, Providence, RI 02906-4318 2006-12-08
1588757264 Caroline E Obrecht Social Worker 120 Wayland Ave, Providence, RI 02906 2006-10-02
1275544934 Alan B. Bearman Social Worker 120 Wayland Ave, Suite 1, Providence, RI 02906-4318 2006-08-10
1841209210 Nancy Carol Hetherington Social Worker 120 Wayland Ave, Suite 1, Providence, RI 02906-4318 2006-08-05
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1538534201 Laura Anne Buss Social Worker 55 Hope St., Providence, RI 02906 2015-12-07
1700289360 Tinatin Surguladze Counselor 205 Waterman St Suite 106, Providence, RI 02906 2014-09-26
1467851519 Jamila Allouane Social Worker 120 Wayland Avenue Suite 2, Providence, RI 02906 2014-08-14
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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]

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NPI Name Taxonomy Address Enumeration
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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 02906

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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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