Mr John Croffett, LICSW | |
949 Bridgeport Ave, Milford, CT 06460 | |
(203) 878-6365 | |
Not Available |
Full Name | Mr John Croffett |
---|---|
Gender | Male |
Speciality | Social Worker - Clinical |
Location | 949 Bridgeport Ave, Milford, Connecticut |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1861618639 | NPI | - | NPPES |
004039244 | Medicaid | CT |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 009658 (Connecticut) | Primary |
Entity Name | Ec Thera-fit Group, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1265099667 PECOS PAC ID: 7810309820 Enrollment ID: O20201216001811 |
Mailing Address | Practice Location Address |
---|---|
Mr John Croffett, LICSW 45 Read Street, New Haven, CT 06511-1120 Ph: (203) 668-2957 | Mr John Croffett, LICSW 949 Bridgeport Ave, Milford, CT 06460 Ph: (203) 878-6365 |
Ms. Katie Rodriguez, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 941 Bridgeport Ave, Milford, CT 06460 Phone: 203-878-6365 | |
Isabelle Breen, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 949 Bridgeport Ave, Milford, CT 06460 Phone: 203-878-6365 | |
Annette Szczesiul, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 949 Bridgeport Ave, Milford, CT 06460 Phone: 203-878-6365 | |
Carra Conlan, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 528 Wheelers Farms Rd, Milford, CT 06461 Phone: 203-713-7728 | |
Ann M Buchas, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 99 Cherry St, Milford, CT 06460 Phone: 203-783-9803 Fax: 203-783-9803 | |
Diane M Prior, L.C.S.W. Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 25 Regent Ter, Milford, CT 06460 Phone: 203-783-9648 | |
Tiffany Hope, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 217 Forest Rd, Milford, CT 06461 Phone: 215-284-5335 |