Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Chartercare Roger Williams Medical Center

Organization Addiction (Substance Use Disorder) Counselor · NPI 1649009507

Chartercare Roger Williams Medical Center is an Addiction (Substance Use Disorder) Counselor in Providence, Rhode Island. Registered with an NPI since 2024.

In the registry since
2024
Specialties on file
14
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Practice location Address checks out

825 Chalkstone Ave
Providence, RI 02908-4728
Phone: (401) 456-2000
Fax: (401) 456-2029
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X
Addiction (Substance Use Disorder) Psychologist Taxonomy 103TA0400X
Social Worker Taxonomy 104100000X
Clinical Social Worker Taxonomy 1041C0700X
Specialist Taxonomy 174400000X
Addiction Medicine (Internal Medicine) Physician Taxonomy 207RA0401X
Hematology & Oncology Physician Taxonomy 207RH0003X
Pulmonary Disease Physician Taxonomy 207RP1001X
Orthopaedic Surgery Physician Taxonomy 207X00000X
Addiction Psychiatry Physician Taxonomy 2084P0802X
Surgery Physician Taxonomy 208600000X
Surgical Oncology Physician Taxonomy 2086X0206X
Foot & Ankle Surgery Podiatrist Taxonomy 213ES0103X

Record details

NPI number1649009507
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jeffrey Liebman — Ceo · (401) 456-2001
Other names Roger Williams Medical Center; Roger Williams Medical Center
NPI enumeratedJuly 30, 2024
Last updated in NPPESJuly 31, 2024
Certification dateJuly 31, 2024
Mailing address825 Chalkstone Ave, Providence, RI 02908-4728

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