| Lisa P Burch, LCSW | |
|
19 Pinney St, Ellington, CT 06029-3812 | |
| (860) 871-9295 | |
| (860) 871-9271 |
| Full Name | Lisa P Burch |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 19 Pinney St, Ellington, Connecticut |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821151895 | NPI | - | NPPES |
| 140001628CT03 | Other | CT | ANTHEM BC PIN |
| 001628 | Other | CT | LICENSE |
| 105256 | Other | MA | LICENSE |
| 11241472 | Other | CAQH PIN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 001628 (Connecticut) | Primary |
| 1041C0700X | Social Worker - Clinical | 105256 (Massachusetts) | Secondary |
| Mailing Address | Practice Location Address |
|---|---|
| Lisa P Burch, LCSW 19 Pinney St, Ellington, CT 06029-3812 Ph: (860) 871-9295 | Lisa P Burch, LCSW 19 Pinney St, Ellington, CT 06029-3812 Ph: (860) 871-9295 |
Mary Kay Kittredge, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 420 Somers Rd, Ellington, CT 06029 Phone: 860-255-4475 | |
Mrs. Lorinda B Spivey, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 100 West Rd Ste 3, Ellington, CT 06029 Phone: 860-454-0520 Fax: 860-454-8469 | |
Dr. Karen Mcdaniel, PH.D. Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 5 Pease Farm Rd, Ellington, CT 06029 Phone: 860-798-5975 | |
Mrs. Kerry Lynn Ketchale, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 420 Somers Rd, Ellington, CT 06029 Phone: 860-255-4475 | |
Ms. Christine Bartley, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 99 Stafford Rd Ste B-1, Ellington, CT 06029 Phone: 860-338-9596 | |
Ms. Rebecca Beth Krusinski, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 602 Autumn Chase, Ellington, CT 06029 Phone: 860-869-8819 |