Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SHALISSA ROSE COUTOULAKIS, LCSW
Active Sole ProprietorSHALISSA ROSE COUTOULAKIS, LCSW is a Clinical Social Worker healthcare provider located in PAWTUCKET, Rhode Island. NPI 1164058202 is currently active in the NPPES registry. Verify at CMS.
Clinical Social Worker · PAWTUCKET, RI
Registration Details
- NPI Number
- 1164058202
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Mar 20, 2020 (6.3857602586741 yrs)
- Last Updated
- Mar 20, 2020
- License
-
CSW02399 (RI)
- Sole Proprietor
- Yes
Practice Information
- Address
-
304 BEVERAGE HILL AVEPAWTUCKET, RI, 028614462Browse RI providers · Browse ZIP 02861
- Phone
- 4014843012
- Primary Specialty
-
Clinical Social Worker
1041C0700X
Other Clinical Social Worker Providers in PAWTUCKET, RI
| Name | Credential | NPI |
|---|---|---|
| MR. WILLIAM G. SAN ANTONIO III | MSW | 1720075815 |
| HEATHER ALLISON BONDS-HARMON | LICSW | 1699750646 |
| MRS. LEAH ANNE BERG | LICSW | 1992772438 |
| ALIX STOCKWOOD | LICSW | 1467411207 |
| JANE M WHELAN | LICSW | 1184685760 |
| MRS. KATHLEEN ANN CHASE | LICSW | 1437110921 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.