Jiacovelli, William

Jiacovelli, William is an individual health care provider with primary practice located at 1011 Veterans Memorial Pkwy , Riverside RI 02915-5061. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Jiacovelli, William can be contacted via phone (401) 432-1000.

Contact Information

Primary practice address
1011 Veterans Memorial Pkwy Riverside RI 02915-5061
Phone: (401) 432-1000
Fax: (401) 432-1500
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X ISW01681 Rhode Island

Profile Details

NPI number 1699717488
LBN Legal business name Jiacovelli, William
Credentials LICSW
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 13th, 2006
Last updated Apr 20th, 2010 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1699717488 NPPES
Rhode Island MEDICAID WJ57815

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