Active NPIIndividual provider

Marisa Ciccone, LCDP

Counselor, Addiction (Substance Use Disorder) in Pawtucket, Rhode Island

NPI Number1972064335
Practice location
31 N Union St, Pawtucket, RI 02860-2915
Fax
401-723-9595
Last updated
March 28, 2019

Marisa Ciccone is a Counselor, Addiction (Substance Use Disorder) based in Pawtucket, RI. Marisa Ciccone practices in Pawtucket, RI and has the professional credentials of LCDP. The NPI Number for Marisa Ciccone is 1972064335 and holds a License No. CPD00770 (RI). The current practice location address for Marisa Ciccone is 31 N Union St, Pawtucket, RI 02860-2915 and can be reached out via phone at 401-725-2520 and via fax at 401-723-9595.

Provider Profile Details

NPI Number
1972064335
Provider Name
Marisa Ciccone
Credential
LCDP
Provider Entity Type
Individual
Gender
Female
Address
31 N Union St, Pawtucket, RI 02860-2915
Phone Number
401-725-2520
Fax Number
401-723-9595
Primary Taxonomy
Counselor, Addiction (Substance Use Disorder) · 101YA0400X
Sole Proprietor
No
Provider Enumeration Date
March 28, 2019
Last Update Date
March 28, 2019
NPI Status
Active

Provider Business Practice Location Address Details

Address
31 N Union St
Pawtucket, RI 02860-2915
Zip
02860-2915
Phone Number
401-725-2520
Fax Number
401-723-9595
Pawtucket, RI 02860Get directions →

Provider Business Mailing Address Details

Address
31 N Union St
Pawtucket, RI 02860-2915
City
Pawtucket
State
RI
Zip
02860-2915
Phone Number
401-725-2520
Fax Number
401-723-9595

License Information

License Number
CPD00770
License State
RI
Taxonomy
Counselor, Addiction (Substance Use Disorder) · 101YA0400X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Marisa Ciccone, LCDP?

The NPI number of Marisa Ciccone, LCDP is 1972064335. It was assigned on March 28, 2019 and is currently active in the NPPES registry.

What is the specialty of Marisa Ciccone, LCDP?

Marisa Ciccone, LCDP is registered under the primary taxonomy Counselor, Addiction (Substance Use Disorder) (code 101YA0400X), licensed in RI under license number CPD00770.

Where does Marisa Ciccone, LCDP practice?

The practice location is 31 N Union St, Pawtucket, RI 02860-2915. The office can be reached at 401-725-2520 (phone) or 401-723-9595 (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 1972064335 directly on the NPPES registry website.

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