MEDICARE: ADRIENNE PIETRASZKA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	ISW02015	RI

General Provider Information

NPI Number	:	1154840254
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ADRIENNE PIETRASZKA

Provider Business Mailing Address
First Line	:	455 TOLL GATE RD
Second Line	:
City	:	WARWICK
State	:	RI
Zip	:	02886-2759
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	171 SERVICE AVE FL 1
Second Line	:
City	:	WARWICK
State	:	RI
Zip	:	02886-1014
Country	:	US
Telephone Number	:	401-430-2000
Fax Number	:	401-453-7597

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/11/2017
Last Update Date	:	07/19/2024

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Directions to “ ADRIENNE PIETRASZKA ” Practice Location

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