Provider Demographics
NPI:1083888101
Name:ALMONTE, ELENA (MSW)
Entity Type:Individual
Prefix:
First Name:ELENA
Middle Name:
Last Name:ALMONTE
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:33 PRUDENCE AVE # ALL
Mailing Address - Street 2:
Mailing Address - City:PROVIDENCE
Mailing Address - State:RI
Mailing Address - Zip Code:02909-5412
Mailing Address - Country:US
Mailing Address - Phone:401-527-7955
Mailing Address - Fax:
Practice Address - Street 1:33 PRUDENCE AVE # ALL
Practice Address - Street 2:
Practice Address - City:PROVIDENCE
Practice Address - State:RI
Practice Address - Zip Code:02909-5412
Practice Address - Country:US
Practice Address - Phone:401-527-7955
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-04-18
Last Update Date:2020-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
RIGH57134Medicaid