Shalissa Rose Coutoulakis, LCSW - Clinical Social Worker in Pawtucket, RI

Shalissa Rose Coutoulakis, LCSW is a Social Worker - Clinical based in Pawtucket, Rhode Island. Shalissa Rose Coutoulakis is licensed to practice in Rhode Island (license number CSW02399) and her current practice location is 304 Beverage Hill Ave, Pawtucket, Rhode Island. She can be reached at her office (for appointments etc.) via phone at (401) 484-3012.

NPI number for Shalissa Rose Coutoulakis is 1164058202 and her current mailing address is 304 Beverage Hill Ave, Pawtucket, Rhode Island. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1164058202.

Contact Information

Shalissa Rose Coutoulakis, LCSW
304 Beverage Hill Ave,
Pawtucket, RI 02861-4462
(401) 484-3012
Not Available



Healthcare Provider's Profile

Full NameShalissa Rose Coutoulakis
GenderFemale
SpecialitySocial Worker - Clinical
Location304 Beverage Hill Ave, Pawtucket, Rhode Island
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1164058202
  • Provider Enumeration Date: 03/20/2020
  • Last Update Date: 03/20/2020

Medical Identifiers

Medical identifiers for Shalissa Rose Coutoulakis such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1164058202NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1041C0700XSocial Worker - Clinical CSW02399 (Rhode Island)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Shalissa Rose Coutoulakis is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Shalissa Rose Coutoulakis, LCSW
304 Beverage Hill Ave,
Pawtucket, RI 02861-4462

Ph: () -
Shalissa Rose Coutoulakis, LCSW
304 Beverage Hill Ave,
Pawtucket, RI 02861-4462

Ph: (401) 484-3012

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› Verified 9 days ago


Social Worker in Pawtucket, RI

Rebecca Jean-mee Savi, LCSW
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 242 Dexter St, Pawtucket, RI 02860
Phone: 508-369-8987    
Mrs. Stacie Cummins-mclaughlin, L.I.C.S.W.
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 100 Lafayette St, Suite 305, Pawtucket, RI 02860
Phone: 401-722-9091    Fax: 401-722-5451
Elizabeth Pinkham, LCSW
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 203 Concord St, Suite 335, Pawtucket, RI 02860
Phone: 401-365-6855    Fax: 401-365-6860
Nathali Rosa, LCSW
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 200 Main St Ste 210, Pawtucket, RI 02860
Phone: 401-728-1800    
Christine Emond, LICSW
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 101 Bacon St, Pawtucket, RI 02860
Phone: 401-722-3560    Fax: 401-724-3120
Christine Lucene Williams, LCSW
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 101 Bacon St Pawtucket, Ri 02860, Ste 103., Pawtucket, RI 02860
Phone: 707-382-2291    
Mr. David H. Yuells, LICSW
Clinical Social Worker
Medicare: Accepting Medicare Assignments
Practice Location: 84 Harris St, Pawtucket, RI 02861
Phone: 401-475-5075    Fax: 401-365-1044

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