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

Koren Carbuccia

Individual provider Peer Specialist · NPI 1699385831

Koren Carbuccia is a Peer Specialist in Pawtucket, Rhode Island. Practices as a sole proprietor. Licensed in Rhode Island.

Licensed in
RI
In the registry since
2020
Specialties on file
3

Practice location Address checks out

25 Maple St
Pawtucket, RI 02860-2104
Phone: (401) 290-8076
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Community Health Worker (primary) Taxonomy 172V00000X · Licence 200800
Peer Specialist Taxonomy 175T00000X · Licence 200800 (RI)
Doula Taxonomy 374J00000X

Record details

NPI number1699385831
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedAugust 3, 2020
Last updated in NPPESSeptember 13, 2022
Certification dateSeptember 13, 2022
Mailing address25 Maple St, Pawtucket, RI 02860-2104

Other providers in Pawtucket