Ebonee Little, LCSW | |
267 Grant St, Bridgeport, CT 06610-2870 | |
(203) 214-2967 | |
Not Available |
Full Name | Ebonee Little |
---|---|
Gender | Female |
Speciality | Social Worker - Clinical |
Location | 267 Grant St, Bridgeport, Connecticut |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1134881113 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 58.011704 (Connecticut) | Primary |
Entity Name | Step Up Care Pc Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1154884740 PECOS PAC ID: 5496088346 Enrollment ID: O20190607000156 |
Mailing Address | Practice Location Address |
---|---|
Ebonee Little, LCSW Po Box 6206, Hamden, CT 06517-0206 Ph: (203) 214-2967 | Ebonee Little, LCSW 267 Grant St, Bridgeport, CT 06610-2870 Ph: (203) 214-2967 |
Ms. Christen A Richard, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1635 Central Avenue, Southwest Ct Mental Health System, Bridgeport, CT 06610 Phone: 203-551-7660 Fax: 203-551-7481 | |
Kimberly Anne Foster, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 180 Fairfield Ave, Bridgeport, CT 06604 Phone: 201-317-2065 | |
Jason Ruggiero, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 180 Fairfield Ave Fl 2, Bridgeport, CT 06604 Phone: 203-394-6529 | |
Mrs. Gabriele Stefanie Paul, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1635 Central Ave, Southwest Ct Mental Health System, Bridgeport, CT 06610 Phone: 203-551-7660 | |
Paula Dodge, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 170 Bennett St, Bridgeport, CT 06605 Phone: 203-690-5150 | |
Shalishea Laws, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1 Lafayette Cir, Bridgeport, CT 06604 Phone: 203-258-1557 | |
Ms. Alexza L Rubio, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: Southwest Connecticut Mental Health System, 1635 Central Avenue, Bridgeport, CT 06610 Phone: 203-551-7660 Fax: 203-551-7481 |