Provider Demographics
NPI:1699984716
Name:GIORGI, JEANETTE (BA, LCDP, CADC)
Entity type:Individual
Prefix:MRS
First Name:JEANETTE
Middle Name:
Last Name:GIORGI
Suffix:
Gender:F
Credentials:BA, LCDP, CADC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1052 PARK AVE
Mailing Address - Street 2:
Mailing Address - City:CRANSTON
Mailing Address - State:RI
Mailing Address - Zip Code:02910-3225
Mailing Address - Country:US
Mailing Address - Phone:401-461-5056
Mailing Address - Fax:401-943-2167
Practice Address - Street 1:1052 PARK AVE
Practice Address - Street 2:
Practice Address - City:CRANSTON
Practice Address - State:RI
Practice Address - Zip Code:02910-3225
Practice Address - Country:US
Practice Address - Phone:401-461-5056
Practice Address - Fax:401-943-2167
Is Sole Proprietor?:No
Enumeration Date:2007-05-22
Last Update Date:2025-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RI00033101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
Provider Identifiers
StateIdentifier IDID TypeIssuer
RI008740 A005204OtherVALUE OPTIONS
RI5079653OtherUNITED HEALTH
RIA2833203OtherOXFORD HEALTH
RI1022660OtherBEACON-NH
RI30774-5OtherBCBS
RICH-04437Medicaid
RI253474OtherMAGELLAN
RI410887OtherBCBS BL CHIP
RI409686OtherBCBS BL CHIP
RI6997-7OtherBCBS
RI7891442OtherAETNA