Gisselle Alejandra Baeza, LCSW
Individual provider Active NPI Clinical Social Worker · Riverside, RI
NPI 1366150385 · NPPES record last updated Nov 8, 2022
Key facts
- NPI
- 1366150385
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- CSW03011 (RI)
- Practice address
- 1011 Veterans Memorial Pkwy
Riverside, RI 02915-5099 - Phone
- (401) 432-1345
- NPI assigned
- Nov 8, 2022
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CSW03011 | RI | MD | Clinical Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | CSW03011 | RI | Yes |
Addresses
Primary practice location
1011 Veterans Memorial Pkwy
Riverside, RI 02915-5099
Mailing address
47 Concannon St Apt 2
Providence, RI 02904-2127
Phone (401) 432-8852
Other providers in Riverside, RI
- Michelle Audette
- Barbara Austin
- Roger Douglas Auth
- Maggie Azar
- Rebecca Babcock Fenerci
- Matthew Ballenberger
- Linda Barber
- Kayla Whiting Barrett
- Francis X. Basile
- Dean Jeffrey Batteson
All providers in Riverside, RI · Clinical Social Worker in Rhode Island
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 8, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.