Marie Louise Malboeuf, | |
202 Pomfret St, Putnam, CT 06260-1833 | |
(860) 963-7917 | |
(860) 963-0015 |
Full Name | Marie Louise Malboeuf |
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Gender | Female |
Speciality | Social Worker - Clinical |
Location | 202 Pomfret St, Putnam, Connecticut |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1770844904 | NPI | - | NPPES |
004040564 | Medicaid | CT |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 008993 (Connecticut) | Primary |
Entity Name | State Of Connecticut |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1902831548 PECOS PAC ID: 8022915677 Enrollment ID: O20040319000291 |
Entity Name | Generations Family Health Center Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1346228905 PECOS PAC ID: 4880640630 Enrollment ID: O20050324000979 |
Mailing Address | Practice Location Address |
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Marie Louise Malboeuf, 40 Mansfield Ave, Willimantic, CT 06226-2018 Ph: (860) 450-7471 | Marie Louise Malboeuf, 202 Pomfret St, Putnam, CT 06260-1833 Ph: (860) 963-7917 |
Ms. Camille Benjamin, M.S.W., L.C.S.W Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 32 Letters St, Putnam, CT 06260 Phone: 860-928-1303 | |
Jeffrey Alan Schneider, LICSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 202 Pomfret St, Putnam, CT 06260 Phone: 860-963-7917 Fax: 860-963-0015 | |
Jessica Anne Collelo-bibeau, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 554 Liberty Hwy Ste 6, Putnam, CT 06260 Phone: 860-412-4598 | |
Meghann Louise Whittemore, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 225 Providence Pike, Putnam, CT 06260 Phone: 860-928-2212 Fax: 860-909-0078 | |
Jessica Uihlein, Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 58 Pomfret St Apt 4316, Putnam, CT 06260 Phone: 860-215-2998 | |
Lisa M Reardon, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 320 Pomfret St, Putnam, CT 06260 Phone: 860-928-6541 | |
Mrs. Ann Drake Sawyer, MSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 202 Pomfret St, Putnam, CT 06260 Phone: 860-963-7917 Fax: 860-963-0015 |