Mercurio, Mary J

Mercurio, Mary J is an sole proprietor health care provider with primary practice located at 75 Sockanosset Cross Road Suite 208, Cranston RI 02920. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Mercurio, Mary J can be contacted via phone (401) 398-1963.

Contact Information

Primary practice address
75 Sockanosset Cross Road Suite 208 Cranston RI 02920
Phone: (401) 398-1963
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X LCDP00288 Rhode Island
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X LCDP 288 Rhode Island
Behavioral Health & Social Service Providers / Mental Health 101YM0800X MHC 000287 Rhode Island

Profile Details

NPI number 1831280544
LBN Legal business name Mercurio, Mary J
Credentials LMHC, LCDP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 27th, 2006
Last updated May 26th, 2011 - about 15 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 1831280544 NPPES
Rhode Island Other 413292 BLUE CHIP
Rhode Island Other 0000031312 BLUE CHIP
Rhode Island MEDICAID MM58994 BLUE CHIP

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