Colleen Ellen Phillips-white, LCSW | |
401 West Thames St, Bldg 301, Southeastern Mental Health Authority, Norwich, CT 06360 | |
(860) 859-4629 | |
(860) 859-4725 |
Full Name | Colleen Ellen Phillips-white |
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Gender | Female |
Speciality | Social Worker - Clinical |
Location | 401 West Thames St, Bldg 301, Norwich, Connecticut |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1063766400 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 007680 (Connecticut) | Primary |
Entity Name | State Of Connecticut |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1902831548 PECOS PAC ID: 8022915677 Enrollment ID: O20040319000291 |
Mailing Address | Practice Location Address |
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Colleen Ellen Phillips-white, LCSW 401 West Thames St, Bldg 301, Southeastern Mental Health Authority, Norwich, CT 06360 Ph: (860) 859-4629 | Colleen Ellen Phillips-white, LCSW 401 West Thames St, Bldg 301, Southeastern Mental Health Authority, Norwich, CT 06360 Ph: (860) 859-4629 |
Julie A Martin, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 47 Town St, Norwich, CT 06360 Phone: 860-892-7042 Fax: 860-823-3060 | |
Mrs. Jennifer Alice Tattersall, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 62 Broadway Ste 1, Norwich, CT 06360 Phone: 860-639-6880 | |
Laurie Giemza, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 42 Town St Ste 300, Norwich, CT 06360 Phone: 860-886-0567 | |
Robert V Scialabba, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 326 Washington St, William W Backus Hospital, Norwich, CT 06360 Phone: 860-889-8331 | |
Ms. Lindsay Marie Melazzo, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 55 Main St, Suite 408, Norwich, CT 06360 Phone: 860-885-6054 | |
Stacy Mesyna, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 47 Town St, Norwich, CT 06360 Phone: 860-892-7042 | |
Michelle Gienau, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 47 Town St, Norwich, CT 06360 Phone: 860-892-7040 |