Changespace Center For Counseling And Development Llc - Medicare Mental Health Clinic in Barrington, RI

Changespace Center For Counseling And Development Llc is a medicare enrolled mental health clinic (Social Worker - Clinical) in Barrington, Rhode Island. The current practice location for Changespace Center For Counseling And Development Llc is 147 County Rd Ste 300a-b, Barrington, Rhode Island. For appointments, you can reach them via phone at (401) 263-4361. The mailing address for Changespace Center For Counseling And Development Llc is 4 Middle St, Barrington, Rhode Island and phone number is (401) 263-4361.

Changespace Center For Counseling And Development Llc is licensed to practice in Rhode Island (license number ISW02166). The clinic also participates in the medicare program and its NPI number is 1144709932. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (401) 263-4361.

Contact Information

Changespace Center For Counseling And Development Llc
147 County Rd Ste 300a-b
Barrington
RI 02806-4536
(401) 263-4361
Not Available

Mental Health Clinic Profile

Full NameChangespace Center For Counseling And Development Llc
SpecialitySocial Worker
Location147 County Rd Ste 300a-b, Barrington, Rhode Island
Authorized Official Name and PositionAlexander Laorenza (CO-OWNER/THERAPIST)
Authorized Official Contact4012634361
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Changespace Center For Counseling And Development Llc
4 Middle St
Barrington
RI 02806-1924

Ph: (401) 263-4361
Changespace Center For Counseling And Development Llc
147 County Rd Ste 300a-b
Barrington
RI 02806-4536

Ph: (401) 263-4361

NPI Details:

NPI Number1144709932
Provider Enumeration Date08/13/2018
Last Update Date08/13/2018

Medicare PECOS Information:

Medicare PECOS PAC ID7214356542
Medicare Enrollment IDO20201006000725

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Medical Identifiers

Medical identifiers for Changespace Center For Counseling And Development Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1144709932NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1041C0700XSocial Worker - Clinical ISW02166 (Rhode Island)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Changespace Center For Counseling And Development Llc acts as a billing entity for following providers:
Provider NameAlexander Laorenza
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1457477655
PECOS PAC ID: 8426477860
Enrollment ID: I20201110002065

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› Verified 8 days ago

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