MS. PHYLLIS M CHOQUETTE (NPI# 1326267105) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326267105 |
| Entity Type | Individual |
| Full Name | MS. PHYLLIS M CHOQUETTE |
| Credential | LICSW |
| Practice Address |
180 Corliss St Ste B Providence RI 02904-2602 |
| Practice Telephone | 4017938400 |
| Practice Fax Number | 4017938402 |
| Mailing Telephone | 4017938400 |
| Mailing Fax Number | 4017938402 |
| Enumeration Date | 2007-04-24 |
| Last Update Date | 2020-02-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
ISW01108 | RI | Behavioral Health & Social Service Providers |
| Street Address |
180 CORLISS ST STE B |
| City | PROVIDENCE |
| State | RI |
| Zip Code | 02904-2602 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265438923 | Diane R Siedlecki | Internal Medicine | 180 Corliss St Ste B, Providence, RI 02904-2602 | 2005-06-27 |
| 1093201667 | Matthew Jacob Dacosta | Physician Assistant | 180 Corliss St Ste B, Providence, RI 02904-2602 | 2018-07-07 |
| 1922470533 | Michael Elliot Whalen | Physician Assistant | 180 Corliss St Ste B, Providence, RI 02904-2602 | 2015-10-21 |
| 1215304837 | Jessica A Duncan | Nurse Practitioner | 180 Corliss St Ste B, Providence, RI 02904-2602 | 2015-08-31 |
| 1144285859 | Walter J Goula | Internal Medicine | 180 Corliss St Ste B, Providence, RI 02904-2602 | 2006-04-18 |
| 1144297698 | Karen A Sclama | Physician Assistant | 180 Corliss St Ste B, Providence, RI 02904-2602 | 2006-03-03 |
| 1104819341 | Robyn M Ostapow | Physician Assistant | 180 Corliss St Ste B, Providence, RI 02904-2602 | 2005-08-23 |
| 1972509636 | Caroline A Troise | Internal Medicine | 180 Corliss St Ste B, Providence, RI 02904-2602 | 2005-06-27 |
| 1639175482 | Heidi J Dorris | Internal Medicine | 180 Corliss St Ste B, Providence, RI 02904-2602 | 2005-06-27 |
| 1659377315 | Robert S Mathieu | Internal Medicine | 180 Corliss St Ste B, Providence, RI 02904-2602 | 2005-06-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144792383 | Lifespan Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 180 Corliss Street, Suite A, Providence, RI 02904 | 2018-12-28 |
| 1780168229 | Beth M. Kalunian | Social Worker | 480 Charles Street, Providence, RI 02904 | 2018-09-20 |
| 1588161608 | Michael P. Johnson, Md, Inc | Internal Medicine | 148 W River St Ste 22b, Providence, RI 02904 | 2018-04-06 |
| 1780045948 | Fred Saccoccio | Pharmacist | 15 Smithfield Road, No Providence, RI 02904 | 2016-03-16 |
| 1699148999 | Latin Adult Day Health Care Center | Clinic/Center | 665 Charles Street, Providence, RI 02904 | 2015-11-09 |
| 1144639956 | Dina P Toolin | Occupational Therapist | 195 Collyer St. 3rd Floor, University Medical Center/miriam Hospital Outpatient, Providence, RI 02904 | 2014-08-06 |
| 1801208798 | Seth Clark | Internal Medicine | 200 Corliss St, Providence, RI 02904 | 2014-05-27 |
| 1134554645 | Molly Elizabeth Smith | Physical Therapist | 1405 Douglas Ave, North Providence, RI 02904 | 2013-09-04 |
| 1336408723 | Emad Awa | Pediatrics | 1 Randall Sq Ste 404, Providence, RI 02904 | 2012-05-07 |
| 1598036790 | Joseph F. Osmanski, Od, Inc | Optometrist | 1971 Mineral Spring Avenue, N. Providence, RI 02904 | 2012-01-19 |
| Find all providers in zip 02904 | ||||
| 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 |
|---|---|---|---|---|
| 1396351714 | Live You Well LLC | Social Worker | 1 Richmond Sq Ste 132c, Providence, RI 02906-5140 | 2020-09-21 |
| 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 |
| Find all providers in PROVIDENCE | ||||
| City | PROVIDENCE |
| Zip Code | 02904 |
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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.