Lauren E St Amour, LCSW | |
47 Water St Ste 202, Mystic, CT 06355-2573 | |
(617) 416-0597 | |
Not Available |
Full Name | Lauren E St Amour |
---|---|
Gender | Female |
Speciality | Clinical Social Worker |
Experience | 21 Years |
Location | 47 Water St Ste 202, Mystic, Connecticut |
Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1659412153 | NPI | - | NPPES |
007059145 | Other | MEDICARE | |
LF65486 | Medicaid | RI | |
600052-721 | Other | MAGELLAN | |
31443-5 | Other | BLUE CROSS BLUE SHIELD | |
413425 | Other | BLUE CHIP | |
1021740 | Other | GROUP NHP |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | ISW01765 (Rhode Island) | Secondary |
1041C0700X | Social Worker - Clinical | 006819 (Connecticut) | Primary |
Entity Name | Mystic Services, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1720619364 PECOS PAC ID: 0446687719 Enrollment ID: O20200226001027 |
Mailing Address | Practice Location Address |
---|---|
Lauren E St Amour, LCSW 11 Joyce St, Mystic, CT 06355-2947 Ph: (617) 416-0597 | Lauren E St Amour, LCSW 47 Water St Ste 202, Mystic, CT 06355-2573 Ph: (617) 416-0597 |
Shelley Beth Kingsbury, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1101 Noank Ledyard Rd # 12, Mystic, CT 06355 Phone: 860-861-8393 | |
Mrs. Shanna Tari Reels, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 282 Noank Ledyard Rd, Mystic, CT 06355 Phone: 860-245-5587 | |
Anne Rivers, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 12 Roosevelt Ave, Suite 203, Mystic, CT 06355 Phone: 860-536-4383 Fax: 860-536-2873 | |
Daniel Stubbs Brown, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 47 Water St, Mystic, CT 06355 Phone: 860-690-7048 | |
Ms. Cathy Ilene Adair, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 190 N Stonington Rd, Mystic, CT 06355 Phone: 860-536-8622 | |
Ms. Diana D Hutchinson, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4 Clipper Dr, Mystic, CT 06355 Phone: 860-608-1720 | |
Mrs. Cynthia Lou Masonjones, L.C.S.W. Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 11 Main St, 6, Mystic, CT 06355 Phone: 860-572-4969 Fax: 860-572-5767 |