Provider Demographics
NPI:1609453893
Name:CLARIDAD COMMUNITY SERVICES, INC.
Entity Type:Organization
Organization Name:CLARIDAD COMMUNITY SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT, CLINICIAN
Authorized Official - Prefix:
Authorized Official - First Name:EVELYN
Authorized Official - Middle Name:
Authorized Official - Last Name:VELOZ-ROCHELEAU
Authorized Official - Suffix:
Authorized Official - Credentials:LICSW
Authorized Official - Phone:401-225-6981
Mailing Address - Street 1:2893 POST RD
Mailing Address - Street 2:
Mailing Address - City:WARWICK
Mailing Address - State:RI
Mailing Address - Zip Code:02886-3117
Mailing Address - Country:US
Mailing Address - Phone:401-225-6981
Mailing Address - Fax:
Practice Address - Street 1:2893 POST RD
Practice Address - Street 2:
Practice Address - City:WARWICK
Practice Address - State:RI
Practice Address - Zip Code:02886-3117
Practice Address - Country:US
Practice Address - Phone:401-225-6981
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-03-25
Last Update Date:2021-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty