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NPI Code Detail

MEDICARE: MRS. JEANETTE GIORGI BA, LCDP, CADC

MEDICARE: MRS. JEANETTE GIORGI BA, LCDP, CADC
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
1101YA0400XAddiction (Substance Use Disorder) Counselor00033RI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1008740 A005204OTHERRIVALUE OPTIONS
25079653OTHERRIUNITED HEALTH
3A2833203OTHERRIOXFORD HEALTH
41022660OTHERRIBEACON-NH
530774-5OTHERRIBCBS
6MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
7253474OTHERRIMAGELLAN
8410887OTHERRIBCBS BL CHIP
9409686OTHERRIBCBS BL CHIP
106997-7OTHERRIBCBS
117891442OTHERRIAETNA

General Provider Information

NPI Number : 1699984716
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. JEANETTE GIORGI BA, LCDP, CADC
Provider Business Mailing Address
First Line : 1052 PARK AVE
Second Line :
City : CRANSTON
State : RI
Zip : 02910-3225
Country : US
Telephone Number : 401-461-5056
Fax Number : 401-943-2167
Provider Business Practice Location Address
First Line : 1052 PARK AVE
Second Line :
City : CRANSTON
State : RI
Zip : 02910-3225
Country : US
Telephone Number : 401-461-5056
Fax Number : 401-943-2167
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/22/2007
Last Update Date : 07/15/2025

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Directions to “ MRS. JEANETTE GIORGI BA, LCDP, CADC” Practice Location

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