Irene Bosco, | |
1224 Mill St Ste 224, East Berlin, CT 06023-1159 | |
(475) 238-8829 | |
(203) 774-1150 |
Full Name | Irene Bosco |
---|---|
Gender | Female |
Speciality | Clinical Social Worker |
Experience | 24 Years |
Location | 1224 Mill St Ste 224, East Berlin, Connecticut |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1942537279 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 006991 (Connecticut) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
The William W Backus Hospital | 0749170645 | 175 |
Nutmeg Counseling Services Llc | 2668744731 | 3 |
Entity Name | Windham Community Memorial Hospital, Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1023191467 PECOS PAC ID: 2961309059 Enrollment ID: O20031217000231 |
Entity Name | The William W Backus Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1467517235 PECOS PAC ID: 0749170645 Enrollment ID: O20040316000739 |
Entity Name | Nutmeg Counseling Services Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1215472527 PECOS PAC ID: 2668744731 Enrollment ID: O20170824000736 |
Mailing Address | Practice Location Address |
---|---|
Irene Bosco, 1224 Mill St Ste 224, East Berlin, CT 06023-1159 Ph: (475) 238-8829 | Irene Bosco, 1224 Mill St Ste 224, East Berlin, CT 06023-1159 Ph: (475) 238-8829 |
Mrs. Nancy Jean Wohlrabe, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1224 Mill St Ste B001, East Berlin, CT 06023 Phone: 847-245-7939 | |
Jason Tartt, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1224 Mill Street, Bldg. B Suite 113, East Berlin, CT 06023 Phone: 860-748-9443 Fax: 860-371-3840 | |
Lauren Matteau, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1224 Mill St Ste 200, East Berlin, CT 06023 Phone: 860-258-6060 |