Beth C Vankeuren Maldonado, LCSW | |
130 Division St, Derby, CT 06418-1326 | |
(203) 732-7474 | |
(203) 735-1550 |
Full Name | Beth C Vankeuren Maldonado |
---|---|
Gender | Female |
Speciality | Social Worker - Clinical |
Location | 130 Division St, Derby, Connecticut |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1346261153 | NPI | - | NPPES |
004039244 | Medicaid | CT | |
318983 | Other | CT | MHN PROVIDER NUMBER |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 005811 (Connecticut) | Primary |
Entity Name | The Griffin Hospital |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1184639973 PECOS PAC ID: 8921901984 Enrollment ID: O20040128000937 |
Mailing Address | Practice Location Address |
---|---|
Beth C Vankeuren Maldonado, LCSW 130 Division St, Derby, CT 06418-1326 Ph: (203) 732-7474 | Beth C Vankeuren Maldonado, LCSW 130 Division St, Derby, CT 06418-1326 Ph: (203) 732-7474 |
Tracy Ramey, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 30 Elizabeth St, 30 Elizabeth Street, Derby, CT 06418 Phone: 203-954-0543 Fax: 203-954-0544 | |
Kristen Schultz Tassiello, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 90 Sodom Ln, Derby, CT 06418 Phone: 475-439-9639 | |
Ms. Jean Stauffer Schoenleber, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 30 Elizabeth St, 3rd Floor, Derby, CT 06418 Phone: 203-954-0543 Fax: 203-954-0544 | |
Ms. Sarah R. Beard, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 30 Elizabeth St, 3rd Floor, Derby, CT 06418 Phone: 203-954-0543 Fax: 203-954-0544 | |
Amy Tinney, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 42 Coppola Ter, Derby, CT 06418 Phone: 203-982-2638 Fax: 203-982-2638 | |
Prof. Mark Senzer, M.S.W. Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 59 Elizabeth St, Derby, CT 06418 Phone: 203-248-4661 | |
Ms. Julianne Cioffi-smith, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 30 Elizabeth St, 3rd Floor, Derby, CT 06418 Phone: 203-954-0543 Fax: 203-954-0544 |