Mr. David Jon Medeiros is a Providence, Rhode Island based counselor who is specialized as Mental Health Counselor. Active license number of Mr. David Jon Medeiros is ISW01114 for Mental Health Counselor in Rhode Island. His current practice location is 173 Waterman St, Providence. Patients can book an appointment with him at 401-743-1214.
Mr. David Jon Medeiros is a licensed professional who helps individuals, couples, and families manage and overcome emotional, psychological, and behavioral challenges. He assess clients’ mental health conditions and develop personalized treatment plans to provide therapy for a range of mental health issues, including anxiety, depression, trauma, relationship issues, stress, grief, and life transitions.
Complete Profile:
Mr. David Jon Medeiros speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
| Name: | Mr. David Jon Medeiros |
| Specialization: | Mental Health Counselor |
| Gender: | Male |
| Credentials: | LICSW |
| Accepts Medicare Assignment: | No |
| Practice Address: | 173 Waterman St, Providence,
Rhode Island, 02906-3919 |
| Phone: | 401-743-1214 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| NPI Number: | 1336204072 |
| NPI Enumeration Date: | 22 Dec, 2006 |
| NPI Last Update On: | 08 Jul, 2007 |
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Mr. David Jon Medeiros are as mentioned below.
| License Number | Specialization | State | Status | |
| ISW01114 | Mental Health Counselor | Rhode Island | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers associated with Mr. David Jon Medeiros such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 409312 | Other | Rhode Island | BLUECHIP |
| 20494-7 | Other | Rhode Island | BLUECROSS |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 173 Waterman St,
Providence, Rhode Island |
| Zip: | 02906-3919 |
| Phone Number: | 401-743-1214 |
Patients can reach Mr. David Jon Medeiros at
173 Waterman St, Providence, Rhode Island or can
call to book an appointment on 401-743-1214.
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 October, 2025.