Adele Ruth Geringer, COMS MSW

Individual provider Active NPI Mental Health Counselor · Chepachet, RI

NPI 1992745665 · NPPES record last updated Jul 3, 2008

Key facts

NPI
1992745665
Entity type
Individual (NPI type 1)
Primary specialty
Mental Health Counselor 101YM0800X
License
ISW01212 (RI)
Practice address
81 Lake View Dr
Chepachet, RI 02814-2056
Phone
(401) 273-7100
NPI assigned
Jun 8, 2006
Sex
Female
Sole proprietor
No

Organizations & group practices 8

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 Care Compare profile

Specialty
Clinical Social Worker
Education
Other, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Community Care Alliance (30 clinicians)

Practice addresses (Care Compare)

800 Clinton St
Woonsocket, RI 02895-3210

800 Clinton St
Woonsocket, RI 02895-3245
Phone (401) 235-7000

PO Box
Suite 1700
Woonsocket, RI 02895

Medicare participation

Medicare fee-for-service enrollment
Enrolled in RI
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20070823000846 RI Practitioner - Clinical Social Worker 5496847238 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
4730RIMDRehabilitation Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Community Care Alliance Mental Health Past
since Jan 1, 1990
Accepting new patients
Community Care Alliance Past
since Jan 1, 1990
Accepting new patients
Community Care Alliance Past
since Jan 1, 1990
Accepting new patients
Community Care Alliance Past
since Jan 1, 1990
Accepting new patients
Community Care Alliance Agape Past
since Jan 1, 1990
Accepting new patients
Community Care Alliance Early Intervention Past
since Jan 1, 1990
Accepting new patients
Community Care Alliance Past
since Jan 1, 1990
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Practitioner 225400000X 4730 RI
Mental Health Counselor 101YM0800X ISW01212 RI Yes

Addresses

Primary practice location

81 Lake View Dr
Chepachet, RI 02814-2056

Mailing address

81 Lake View Dr
Chepachet, RI 02814-2056
Phone (401) 273-7100

Other providers in Chepachet, RI

All providers in Chepachet, RI · Mental Health Counselor in Rhode Island

Sources for this page

Verify at the official NPI Registry.