Mr John Gleason Jr, | |
2960 Post Rd, Southport, CT 06890-1268 | |
(203) 307-3030 | |
Not Available |
Full Name | Mr John Gleason Jr |
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Gender | Male |
Speciality | Social Worker - Clinical |
Location | 2960 Post Rd, Southport, Connecticut |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1760043590 | NPI | - | NPPES |
GLEASON | Other | CT | AETNA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
Entity Name | State Of Connecticut |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1720013360 PECOS PAC ID: 8022915677 Enrollment ID: O20040319000785 |
Entity Name | Coastal Connecticut Counseling Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1982076014 PECOS PAC ID: 8527361161 Enrollment ID: O20160114002225 |
Mailing Address | Practice Location Address |
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Mr John Gleason Jr, 2960 Post Rd, Southport, CT 06890-1268 Ph: () - | Mr John Gleason Jr, 2960 Post Rd, Southport, CT 06890-1268 Ph: (203) 307-3030 |
Ana Cristina Jardim Messenger, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 2960 Post Rd Fl 3, Southport, CT 06890 Phone: 203-307-3030 | |
Elizabeth Perry, L.C.S.W. Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 239 Barberry Rd, Southport, CT 06890 Phone: 203-772-1270 | |
Linda Keller, LCSW, LMFT Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 49 John St, Suite 102, Southport, CT 06890 Phone: 203-307-3030 Fax: 203-255-7486 | |
Heather Lyn Rosenbaum, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 201 Hulls Hwy, Southport, CT 06890 Phone: 203-640-0777 | |
Jessica Newton, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2960 Post Rd Fl 3, Southport, CT 06890 Phone: 203-307-3030 | |
Joshua Aaron Neitlich, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2425 Post Rd Ste 103, Southport, CT 06890 Phone: 203-993-7809 | |
Krista Amato, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 2960 Post Rd Ste 3b2, Southport, CT 06890 Phone: 203-939-7462 |