Elida Araujo-Picard, LICSW

Individual provider Active NPI Clinical Social Worker · Providence, RI

NPI 1104847102 · NPPES record last updated Mar 27, 2009

Key facts

NPI
1104847102
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Social Worker 1041C0700X
License
ISW00317 (RI)
Practice address
530 N Main St
Providence, RI 02904-5762
Phone
(401) 274-2500
NPI assigned
Jul 22, 2006
Sex
Female
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
ISW00317RIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
The Providence Center Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X ISW00317 RI Yes

Addresses

Primary practice location

530 N Main St
Providence, RI 02904-5762

Mailing address

528 N Main St
Providence, RI 02904-5757

Other identifiers

IdentifierTypeStateIssuer
1104847946OtherRITHE PROVIDENCE CENTER NPI
7493-5OtherRIBLUE CROSS
EA43534MedicaidRI
409269OtherRIBLUE CHIP
62-99025OtherRIUNITED BEHAVIORAL HEATH

Other providers in Providence, RI

All providers in Providence, RI · Clinical Social Worker in Rhode Island

Sources for this page

Verify at the official NPI Registry.