Mark Chuoke, LCSW | |
207 Storrs Rd, Mansfield Center, CT 06250-1638 | |
(860) 481-1351 | |
Not Available |
Full Name | Mark Chuoke |
---|---|
Gender | Male |
Speciality | Social Worker - Clinical |
Location | 207 Storrs Rd, Mansfield Center, Connecticut |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1366848616 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 002387 (Connecticut) | Primary |
Entity Name | Mark Chuoke Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1902464829 PECOS PAC ID: 6507262797 Enrollment ID: O20210914001872 |
Mailing Address | Practice Location Address |
---|---|
Mark Chuoke, LCSW 265 Paine Rd, Pomfret Center, CT 06259-1928 Ph: (860) 315-7654 | Mark Chuoke, LCSW 207 Storrs Rd, Mansfield Center, CT 06250-1638 Ph: (860) 481-1351 |
Zachary Brown, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 140 N Frontage Rd, Mansfield Center, CT 06250 Phone: 860-456-2261 | |
Jenna Clavette, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 140 N Frontage Rd, Mansfield Center, CT 06250 Phone: 860-456-2261 Fax: 860-430-1357 | |
Mr. Bryan R Hall Ii, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 189 Storrs Rd, Mansfield Center, CT 06250 Phone: 860-456-1311 Fax: 860-423-6114 | |
Joan E Prugh, MSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 12c Ledgebrook Dr Ste 2, Mansfield Center, CT 06250 Phone: 860-450-9789 Fax: 860-487-3617 | |
Tianna Teles-rosario, LMSW-T Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 140 N Frontage Rd, Mansfield Center, CT 06250 Phone: 860-456-2261 Fax: 860-450-1357 | |
Ashley Sanzaro, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 140 N Frontage Rd, Mansfield Center, CT 06250 Phone: 860-456-2261 Fax: 860-450-1357 | |
Susan Marie Blayer, LCSW, MDIV Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 46 Samuel Ln, Mansfield Center, CT 06250 Phone: 347-387-5648 |