Provider Demographics
NPI:1114370285
Name:ROSALINO COUNSELING SERVICES
Entity Type:Organization
Organization Name:ROSALINO COUNSELING SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SOCIAL WORKER
Authorized Official - Prefix:MS
Authorized Official - First Name:SUELEM
Authorized Official - Middle Name:COSTA
Authorized Official - Last Name:ROSALINO
Authorized Official - Suffix:
Authorized Official - Credentials:LICSW
Authorized Official - Phone:401-419-4846
Mailing Address - Street 1:325 PUBLIC ST
Mailing Address - Street 2:
Mailing Address - City:PROVIDENCE
Mailing Address - State:RI
Mailing Address - Zip Code:02905-2340
Mailing Address - Country:US
Mailing Address - Phone:401-419-4846
Mailing Address - Fax:401-270-3522
Practice Address - Street 1:1052 CHARLES ST
Practice Address - Street 2:APT 2
Practice Address - City:NORTH PROVIDENCE
Practice Address - State:RI
Practice Address - Zip Code:02904-4917
Practice Address - Country:US
Practice Address - Phone:401-419-4846
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-07-13
Last Update Date:2016-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIISW026311041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty