Justine Micalizzi Cornelio, | |
91 Northwest Dr, Plainville, CT 06062-1552 | |
(860) 793-3500 | |
Not Available |
Full Name | Justine Micalizzi Cornelio |
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Gender | Female |
Speciality | Social Worker - Clinical |
Location | 91 Northwest Dr, Plainville, Connecticut |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1194229781 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
Entity Name | Wheeler Clinic Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1396750840 PECOS PAC ID: 0345147153 Enrollment ID: O20031218000218 |
Entity Name | State Of Connecticut |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1487689022 PECOS PAC ID: 8022915677 Enrollment ID: O20040319000169 |
Mailing Address | Practice Location Address |
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Justine Micalizzi Cornelio, 310 Old Main St, Rocky Hill, CT 06067-1508 Ph: () - | Justine Micalizzi Cornelio, 91 Northwest Dr, Plainville, CT 06062-1552 Ph: (860) 793-3500 |
Ms. Kendra Lyn Labrie, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 100 Northampton Lane, A5, Plainville, CT 06062 Phone: 860-302-9680 | |
Kristen Bernier Vavrek, LCSW Clinical Social Worker Medicare: May Accept Medicare Assignments Practice Location: 49 Broad St, Plainville, CT 06062 Phone: 720-530-7186 | |
Mrs. Stacey Marshall Henson, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 91 Northwest Dr, Plainville, CT 06062 Phone: 860-586-9465 Fax: 860-232-5049 | |
Mrs. Whitney Simone Wilfred, Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 91 Northwest Dr, Plainville, CT 06062 Phone: 860-793-3500 | |
Melissa Brea Conway, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 74 East St, Plainville, CT 06062 Phone: 860-793-4480 | |
Mrs. Nicolina Renee Ku, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 88 East St, Plainville, CT 06062 Phone: 860-793-7277 | |
Mrs. Alexandra Favale, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 91 Northwest Dr, Plainville, CT 06062 Phone: 860-793-3500 |