Angie Botero Castro, LCSW | |
140 N Frontage Rd, Mansfield Center, CT 06250-1648 | |
(860) 456-2261 | |
(860) 450-1357 |
Full Name | Angie Botero Castro |
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Gender | Female |
Speciality | Social Worker - Clinical |
Location | 140 N Frontage Rd, Mansfield Center, Connecticut |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1841875366 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 5633 (Connecticut) | Secondary |
1041C0700X | Social Worker - Clinical | 13134 (Connecticut) | Primary |
Entity Name | United Services Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1063413011 PECOS PAC ID: 8426042698 Enrollment ID: O20040412000491 |
Mailing Address | Practice Location Address |
---|---|
Angie Botero Castro, LCSW 1007 N Main St, Dayville, CT 06241-2170 Ph: (860) 774-2020 | Angie Botero Castro, LCSW 140 N Frontage Rd, Mansfield Center, CT 06250-1648 Ph: (860) 456-2261 |
Zachary Brown, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 140 N Frontage Rd, Mansfield Center, CT 06250 Phone: 860-456-2261 | |
Jenna Clavette, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 140 N Frontage Rd, Mansfield Center, CT 06250 Phone: 860-456-2261 Fax: 860-430-1357 | |
Mr. Bryan R Hall Ii, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 189 Storrs Rd, Mansfield Center, CT 06250 Phone: 860-456-1311 Fax: 860-423-6114 | |
Joan E Prugh, MSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 12c Ledgebrook Dr Ste 2, Mansfield Center, CT 06250 Phone: 860-450-9789 Fax: 860-487-3617 | |
Tianna Teles-rosario, LMSW-T Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 140 N Frontage Rd, Mansfield Center, CT 06250 Phone: 860-456-2261 Fax: 860-450-1357 | |
Ashley Sanzaro, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 140 N Frontage Rd, Mansfield Center, CT 06250 Phone: 860-456-2261 Fax: 860-450-1357 | |
Susan Marie Blayer, LCSW, MDIV Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 46 Samuel Ln, Mansfield Center, CT 06250 Phone: 347-387-5648 |