Kathryn Elaine Roosevelt, LCSW | |
21 Chicago Ave, Groton, CT 06340-4907 | |
(800) 526-3485 | |
Not Available |
Full Name | Kathryn Elaine Roosevelt |
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Gender | Female |
Speciality | Social Worker - Clinical |
Location | 21 Chicago Ave, Groton, Connecticut |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1467894055 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 8260 (Connecticut) | Primary |
Entity Name | Island Transitions Counseling And Consulting Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1396317145 PECOS PAC ID: 0143666727 Enrollment ID: O20240306002636 |
Mailing Address | Practice Location Address |
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Kathryn Elaine Roosevelt, LCSW 35 Mile Creek Rd, Apt 3d, Old Lyme, CT 06371-1712 Ph: (618) 559-1124 | Kathryn Elaine Roosevelt, LCSW 21 Chicago Ave, Groton, CT 06340-4907 Ph: (800) 526-3485 |
Catherine E Giroux, Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 10 Fort Hill Rd, Groton, CT 06340 Phone: 860-415-3710 | |
Veronica Alleyne, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1 Harry Day Dr, Groton, CT 06340 Phone: 860-443-2896 | |
Katherine Sarah Martin, BA Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 591 Poquonnock Rd, Groton, CT 06340 Phone: 860-437-4550 | |
Mr. Steven Jay Difilippo, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 1 Wahoo Ave, Navsubasenlon, Groton, CT 06340 Phone: 860-694-1637 | |
Miss Nichol Jo West, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 187 Ledgewood Rd, Apt 206, Groton, CT 06340 Phone: 724-322-3399 | |
Katheryn Jeanne Cloud, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 88 Georgia St, Groton, CT 06340 Phone: 860-938-3925 | |
Lori A Perry, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1 Fort Hill Road, Suite 3, Groton, CT 06340 Phone: 860-552-7811 |