Center For Self Care Csc - Mental Health Clinic in Middletown, RI

Center For Self Care Csc is a mental health clinic (Counselor - Mental Health) in Middletown, Rhode Island. The current practice location for Center For Self Care Csc is 575 E Main Rd, 4, Middletown, Rhode Island. For appointments, you can reach them via phone at (508) 962-7364. The mailing address for Center For Self Care Csc is P.o. Box 577, Somerset, Massachusetts and phone number is (508) 962-7364.

Center For Self Care Csc is licensed to practice in Rhode Island (license number 00547) and its NPI number is 1952651895. This medical practice does not participate in medicare program and thus may not accept your medicare insurance. You may check if they accept your insurance at (508) 962-7364.

Contact Information

Center For Self Care Csc
575 E Main Rd
4
Middletown
RI 02842-5528
(508) 962-7364
(401) 619-7766

Mental Health Clinic Profile

Full NameCenter For Self Care Csc
SpecialityCounselor - Mental Health
Location575 E Main Rd, Middletown, Rhode Island
Authorized Official Name and PositionTiffany Bourquin (CEO/EXECUTIVE DIRECTOR)
Authorized Official Contact5089627364
Accepts Medicare InsuranceThis clinic does not participate in Medicare Program.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Center For Self Care Csc
P.o. Box 577
Somerset
MA 02726

Ph: (508) 962-7364
Center For Self Care Csc
575 E Main Rd
4
Middletown
RI 02842-5528

Ph: (508) 962-7364

NPI Details:

NPI Number1952651895
Provider Enumeration Date09/19/2012
Last Update Date04/26/2017

Medical Identifiers

Medical identifiers for Center For Self Care Csc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1952651895NPI-NPPES
1669631487OtherINDIVIDUAL NPI 1669631487
BH90286MedicaidRI

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YM0800XCounselor - Mental Health 00547 (Rhode Island)Primary
101YM0800XCounselor - Mental Health 6722 (Massachusetts)Secondary
101YM0800XCounselor - Mental Health 7566 (Massachusetts)Secondary
101YM0800XCounselor - Mental Health 7566 (Rhode Island)Secondary
1041C0700XSocial Worker - Clinical CSW01724 (Rhode Island)Secondary
1041C0700XSocial Worker - Clinical 02472 (Rhode Island)Secondary
251S00000XCommunity/behavioral Health MHC00502 (Rhode Island)Secondary
251S00000XCommunity/behavioral Health 7566 (Massachusetts)Secondary

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