Shalissa Rose Coutoulakis, LCSW
Social Worker, Clinical in Pawtucket, RI. Individual provider (NPI-1).
NPI number1164058202
StatusActive
Last updated in NPPESMar 20, 2020
Details
- NPI
- 1164058202
- Entity type
- Individual (NPI-1)
- Name
- Shalissa Rose Coutoulakis
- Credential
- LCSW
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Mar 20, 2020
- Certification date
- Mar 20, 2020
- Last updated
- Mar 20, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | CSW02399 | RI | Yes |
Practice location
304 Beverage Hill AvePawtucket, RI 02861-4462
Phone 401-484-3012
Mailing address
304 Beverage Hill AvePawtucket, RI 02861-4462
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other Clinical Social Worker providers in Pawtucket, RI
- Alyssa Christine Acosta, LICSWNPI 1801279591
- Yorisola AdemoyeNPI 1740038819
- Agarcia & Co Therapeutic ConsultingNPI 1922987783
- Patricia AguilarNPI 1619800331
- Erica Albert, LICSWNPI 1285862219
- Albert Silva Msw Lcdp Cadc LLCNPI 1811615321
- Patricia Nievez Alvarez, LICSWNPI 1114206521
- Wanda M Angel, LCSWNPI 1275071409
- Laura Booth Angell, LICSWNPI 1689827867
- Abby AntwiNPI 1205238359
All 174 Clinical Social Worker providers in Pawtucket · All 1,697 providers in Pawtucket
Checking a whole list?
Paste up to 5,000 NPIs and download status, name, taxonomy, license and address for each one. Useful for credentialing, billing and pharmacy claim checks.