Jennill Rachelli Coronado, LCSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

CSW0216 Issued in RI

Practice address

321 Auburn St
Cranston, RI 02910-3316

Phone

(401) 688-5493

NPI assigned

Apr 3, 2023

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Ms. Jennill Rachelli Quezada Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1680480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680480000000",
    "number": "1568167252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "321 AUBURN ST",
            "city": "CRANSTON",
            "state": "RI",
            "postal_code": "029103316",
            "telephone_number": "401-688-5493"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "321 AUBURN ST",
            "city": "CRANSTON",
            "state": "RI",
            "postal_code": "029103316",
            "telephone_number": "401-688-5493"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORONADO",
        "first_name": "JENNILL",
        "middle_name": "RACHELLI",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-04-03",
        "last_updated": "2023-04-03",
        "certification_date": "2023-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "RI",
            "license": "CSW0216",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNILL",
            "last_name": "QUEZADA",
            "middle_name": "RACHELLI",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Gillian Leahy Cooperstein, APRN
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• Gerard Corneau, LMHC
• Candice Lynn Corrao, LCSW
• Amy NM Corsi, PT
• John S Corvese, O.D.
• William F Coscina, MD
• Elizabeth Sara Costa-Carroccia, DDS

• Social Worker in Cranston, RI
• Providers in Cranston, RI by specialty
• Social Worker in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.