Lynn Marie Obomalayat, LCSW | |
25 Cardinal Way, South Windsor, CT 06074-3745 | |
(860) 281-1771 | |
Not Available |
Full Name | Lynn Marie Obomalayat |
---|---|
Gender | Female |
Speciality | Social Worker - Clinical |
Location | 25 Cardinal Way, South Windsor, Connecticut |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1073162947 | NPI | - | NPPES |
NONE | Other | NONE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 58003916 (Connecticut) | Primary |
Entity Name | Lynn Obomalayat, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1790327492 PECOS PAC ID: 9931539145 Enrollment ID: O20200430000292 |
Mailing Address | Practice Location Address |
---|---|
Lynn Marie Obomalayat, LCSW 25 Cardinal Way, South Windsor, CT 06074-3745 Ph: (860) 281-1771 | Lynn Marie Obomalayat, LCSW 25 Cardinal Way, South Windsor, CT 06074-3745 Ph: (860) 281-1771 |
Robin Lagasse, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 225 Oakland Rd, Ste 403, South Windsor, CT 06074 Phone: 860-644-3222 | |
Dayna Chinsky, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1169 Ellington Rd, South Windsor, CT 06074 Phone: 860-289-4404 | |
Miss Tracy Marie Lewis, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 925 Sullivan Ave, Unit 2, South Windsor, CT 06074 Phone: 860-432-7771 Fax: 860-432-7774 | |
Maureen A Francis-dunn, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 435 Buckland Rd, South Windsor, CT 06074 Phone: 860-726-8053 | |
Mr. Alexander Drew Pepe, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 828 Sullivan Ave, South Windsor, CT 06074 Phone: 860-569-5900 | |
Cheryl Plank, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 300 Governors Hwy, South Windsor, CT 06074 Phone: 860-996-0031 |