Keegan Hackman, LMSW | |
28 Crescent St, Middletown, CT 06457-3654 | |
(860) 358-3423 | |
Not Available |
Full Name | Keegan Hackman |
---|---|
Gender | Female |
Speciality | Social Worker - Clinical |
Location | 28 Crescent St, Middletown, Connecticut |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1083075840 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
Entity Name | New Vitae Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1609923622 PECOS PAC ID: 0840278222 Enrollment ID: O20040712000932 |
Mailing Address | Practice Location Address |
---|---|
Keegan Hackman, LMSW 28 Crescent St, Middletown, CT 06457-3654 Ph: () - | Keegan Hackman, LMSW 28 Crescent St, Middletown, CT 06457-3654 Ph: (860) 358-3423 |
Rebecca Rotondo, LMSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 230 Main Street Extension, Act Team, Gilead Community Services, Middletown, CT 06457 Phone: 860-343-5300 | |
Ellen B Koch, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: River Valley Services, Dutton Home Silver St, Middletown, CT 06457 Phone: 860-262-5358 Fax: 860-262-5356 | |
Vanessa M Cardella, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 267 William St, Middletown, CT 06457 Phone: 860-834-1018 | |
Amanda L Wolf, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1 Macdonough Pl, Middletown, CT 06457 Phone: 860-358-3437 | |
Catherine A Stone, L.C.S.W. Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 363 Main St Ste 509, Middletown, CT 06457 Phone: 203-584-5206 | |
Rachel U Manemeit, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: Dutton Home Silver St, River Valley Services, Middletown, CT 06457 Phone: 860-262-5358 Fax: 860-262-5356 | |
Mr. Walter Livingston Miller, LCSW LADC NCGC II Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: Problem Gambling Services 2 Vance Drive Russell Hall, Connecticut Valley Hospital, Middletown, CT 06457 Phone: 860-344-2244 Fax: 860-344-2360 |