HAROLD GOLDIS (NPI# 1295811057) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295811057 |
| Entity Type | Individual |
| Full Name | HAROLD GOLDIS |
| Credential | LICSW |
| Practice Address |
101 Bacon St Pawtucket RI 02860-5542 |
| Mailing Address |
P.o. Box 899 Wakefield RI 02879-2222 |
| Practice Telephone | 4017223560 |
| Practice Fax Number | 4017223593 |
| Mailing Telephone | 4013647705 |
| Mailing Fax Number | 4013647705 |
| Enumeration Date | 2006-10-27 |
| Last Update Date | 2016-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 104100000X | Social Worker | Behavioral Health & Social Service Providers | ||
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| RI | BLUE CHIP | 406478 | 01 |
| RI | BEACON NHP | 1020890 | 01 |
| RI | VALUE OPTIONS | A007959 | 01 |
| RI | CHAMPUS | RI0007930 | 01 |
| RI | MULTIPLAN | 050306183 | 01 |
| RI | MAGELLAN | 050306183 | 01 |
| RI | TRICARE | 233232 | 01 |
| RI | HG13028 | 05 | |
| RI | UBH | 6234382 | 01 |
| RI | BCBS | 306186 | 01 |
| Street Address |
101 BACON ST |
| City | PAWTUCKET |
| State | RI |
| Zip Code | 02860-5542 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609847078 | Stephen L Chabot | Psychiatry & Neurology | 101 Bacon St, Pawtucket, RI 02860 | 2006-02-01 |
| 1972134856 | Christina A Denton | Counselor | 101 Bacon St, Pawtucket, RI 02860-5542 | 2020-01-30 |
| 1952823627 | Erica Renee Prino | Social Worker | 101 Bacon St, Pawtucket, RI 02860-5542 | 2017-07-13 |
| 1356714919 | Yovanska M Duarte Velez | Psychologist | 101 Bacon St, Pawtucket, RI 02860-5542 | 2015-11-04 |
| 1003294984 | Trisha Johnson | Counselor | 101 Bacon St, Pawtucket, RI 02860-5542 | 2015-05-12 |
| 1477940534 | Bobbie Waters | Counselor | 101 Bacon St, Pawtucket, RI 02860-5542 | 2015-04-16 |
| 1407242746 | Louis Salera | Counselor | 101 Bacon St, Pawtucket, RI 02860-5542 | 2015-04-14 |
| 1811385149 | Antonia Brooks | Counselor | 101 Bacon St, Pawtucket, RI 02860-5542 | 2015-01-09 |
| 1255729893 | Katheryn Gorman | Counselor | 101 Bacon St, Pawtucket, RI 02860-5542 | 2015-01-06 |
| 1851798003 | Patricia Hussey | Counselor | 101 Bacon St, Pawtucket, RI 02860-5542 | 2014-12-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972096923 | Lmb Medical LLC | Internal Medicine | 127 School St, Pawtucket, RI 02860 | 2018-06-13 |
| 1215420435 | Tyla Jackson | Behavior Technician | 70 Wood St Apt 22, Pawtucket, RI 02860 | 2018-06-12 |
| 1376048637 | Michael A Iadevaia | Family Medicine | 111 Brewster St Fl 3, Pawtucket, RI 02860 | 2018-03-28 |
| 1730690488 | Anthony Edwin Ramicone | Physician Assistant | 407 East Ave Ste 120, Pawtucket, RI 02860 | 2017-10-21 |
| 1669991352 | Kathleen K. Kroessler, Md; Neurology & Acupuncture, Inc. PC | Clinic/Center | 407 East Ave; Suite 110, Pawtucket, RI 02860 | 2017-09-13 |
| 1841716230 | Ri Alternative Academy Management, LLC | Local Education Agency (LEA) | 249 Roosevelt Avenue, Pawtucket, RI 02860 | 2017-08-17 |
| 1396265724 | Hannah R Stoops | Family Medicine | 111 Brewster St Fcc A, Pawtucket, RI 02860 | 2017-06-27 |
| 1427578400 | Shaun Michael Flynn | Family Medicine | 111 Brewster St, Fcc A, Pawtucket, RI 02860 | 2017-06-21 |
| 1073051843 | Laura Jane Amaral | Counselor | 750 East Ave Unit 1e, Pawtucket, RI 02860 | 2017-02-01 |
| 1063862027 | Stephanie Shoppell | Counselor | 105 Bacon Street, Pawtucket, RI 02860 | 2016-06-20 |
| Find all providers in zip 02860 | ||||
| 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 |
| 1164058202 | Shalissa Rose Coutoulakis | Social Worker | 304 Beverage Hill Ave, Pawtucket, RI 02861-4462 | 2020-03-20 |
| 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 |
| Find all providers in PAWTUCKET | ||||
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| 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.