Provider Demographics
NPI:1396814059
Name:LANCELLOTTI, WILLIAM E JR (LMHC)
Entity Type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:E
Last Name:LANCELLOTTI
Suffix:JR
Gender:M
Credentials:LMHC
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:19 CRESTON WAY
Mailing Address - Street 2:
Mailing Address - City:WARWICK
Mailing Address - State:RI
Mailing Address - Zip Code:02886-9407
Mailing Address - Country:US
Mailing Address - Phone:401-398-7681
Mailing Address - Fax:401-615-9908
Practice Address - Street 1:207 QUAKER LN STE 302
Practice Address - Street 2:
Practice Address - City:WEST WARWICK
Practice Address - State:RI
Practice Address - Zip Code:02893-7625
Practice Address - Country:US
Practice Address - Phone:401-398-7681
Practice Address - Fax:401-615-9908
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-07
Last Update Date:2023-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIMHC1448101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
RI214133OtherBLUE CROSS BLUE SHIELD
RI4400195OtherUNITED HEALTHCARE
RI204636OtherBLUE CHIP
RI4400918OtherUNITED HEALTHCARE
RI77888OtherBLUE CROSS BLUE SHIELD
RI646697OtherACN GROUP
RIT79305Medicare UPIN