Bethany Keck, | |
1680 Albany Ave, Hartford, CT 06105-1001 | |
(860) 236-4511 | |
Not Available |
Full Name | Bethany Keck |
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Gender | Female |
Speciality | Social Worker - Clinical |
Location | 1680 Albany Ave, Hartford, Connecticut |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1679859334 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 007786 (Connecticut) | Primary |
Entity Name | Connecticut Children's Specialty Group, Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1669448882 PECOS PAC ID: 6002720117 Enrollment ID: O20031113000468 |
Entity Name | Interface Center Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1417030651 PECOS PAC ID: 3173503307 Enrollment ID: O20040720001176 |
Entity Name | Interface Counseling Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1851003958 PECOS PAC ID: 9537531454 Enrollment ID: O20230202000531 |
Mailing Address | Practice Location Address |
---|---|
Bethany Keck, 1680 Albany Ave, Hartford, CT 06105-1001 Ph: (860) 236-4511 | Bethany Keck, 1680 Albany Ave, Hartford, CT 06105-1001 Ph: (860) 236-4511 |
Mr. Glenn Gregory Gemma, L.C.S.W. Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 555 Franklin Ave, Hartford, CT 06114 Phone: 860-756-8669 | |
Laurel Barrett, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 331 Wethersfield Ave, Hartford, CT 06114 Phone: 860-971-4761 | |
Isabella Pugliese, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 553 Farmington Ave, Hartford, CT 06105 Phone: 206-819-8258 | |
Maryellen Thomson Sciallo, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1680 Albany Ave, Hartford, CT 06105 Phone: 860-236-4511 | |
Charlene Ann Snipes, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 500 Vine Street, Hartford, CT 06112 Phone: 860-297-0905 Fax: 860-297-0914 | |
Mr. David Susanin, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 500 Vine St, Hartford, CT 06112 Phone: 860-297-0810 Fax: 860-293-6356 | |
Ms. Rebecca Jennifer Robotham, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 65 Osten Blvd, Hartford, CT 06106 Phone: 860-729-2069 |