Jackie Berry, CSSA
Counselor, Addiction (Substance Use Disorder) in Pawtucket, Rhode Island
1770837734- Practice location
- 166 Pawtucket Ave, Pawtucket, RI 02860-3811
- Phone
- 401-722-4644
- Fax
- 401-722-5280
- Last updated
- October 30, 2012
Jackie Berry is a Counselor, Addiction (Substance Use Disorder) based in Pawtucket, RI. Jackie Berry practices in Pawtucket, RI and has the professional credentials of CSSA. The NPI Number for Jackie Berry is 1770837734. The current practice location address for Jackie Berry is 166 Pawtucket Ave, Pawtucket, RI 02860-3811 and can be reached out via phone at 401-722-4644 and via fax at 401-722-5280.
Provider Profile Details
- NPI Number
- 1770837734
- Provider Name
- Jackie Berry
- Credential
- CSSA
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 166 Pawtucket Ave, Pawtucket, RI 02860-3811
- Phone Number
- 401-722-4644
- Fax Number
- 401-722-5280
- Primary Taxonomy
- Counselor, Addiction (Substance Use Disorder) · 101YA0400X
- Sole Proprietor
- No
- Provider Enumeration Date
- October 30, 2012
- Last Update Date
- October 30, 2012
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 166 Pawtucket Ave
Pawtucket, RI 02860-3811 - City
- Pawtucket
- State
- Rhode Island
- Zip
- 02860-3811
- Phone Number
- 401-722-4644
- Fax Number
- 401-722-5280
Provider Business Mailing Address Details
- Address
- 166 Pawtucket Ave
Pawtucket, RI 02860-3811 - City
- Pawtucket
- State
- RI
- Zip
- 02860-3811
- Phone Number
- 401-722-4644
- Fax Number
- 401-722-5280
License Information
- Taxonomy
- Counselor, Addiction (Substance Use Disorder) · 101YA0400X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Counselor, Addiction (Substance Use Disorder) providers near Pawtucket, RI
View all Counselor, Addiction (Substance Use Disorder) providers in Pawtucket →- Bonnie M Clarke, LCDPCounselor, Addiction (Substance Use Disorder) · NPI 1669364329
- Brenda Beauregard, LCDPCounselor, Addiction (Substance Use Disorder) · NPI 1659409647
- Catherine Cruz, LICSW, LCDPCounselor, Addiction (Substance Use Disorder) · NPI 1700987351
- Catherine FogartyCounselor, Addiction (Substance Use Disorder) · NPI 1043526221
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Frequently Asked Questions
What is the NPI number of Jackie Berry, CSSA?
The NPI number of Jackie Berry, CSSA is 1770837734. It was assigned on October 30, 2012 and is currently active in the NPPES registry.
What is the specialty of Jackie Berry, CSSA?
Jackie Berry, CSSA is registered under the primary taxonomy Counselor, Addiction (Substance Use Disorder) (code 101YA0400X).
Where does Jackie Berry, CSSA practice?
The practice location is 166 Pawtucket Ave, Pawtucket, RI 02860-3811. The office can be reached at 401-722-4644 (phone) or 401-722-5280 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1770837734 directly on the NPPES registry website.