Mr John William White Jr, MSW | |
9 Elm Rd, Cromwell, CT 06416-2164 | |
(860) 316-5577 | |
Not Available |
Full Name | Mr John William White Jr |
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Gender | Male |
Speciality | Social Worker - Clinical |
Location | 9 Elm Rd, Cromwell, Connecticut |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1184051146 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 008258 (Connecticut) | Primary |
Entity Name | Courage Ahead Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1427812668 PECOS PAC ID: 3173065208 Enrollment ID: O20240605000265 |
Mailing Address | Practice Location Address |
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Mr John William White Jr, MSW 9 Elm Rd, Cromwell, CT 06416-2164 Ph: (860) 316-5577 | Mr John William White Jr, MSW 9 Elm Rd, Cromwell, CT 06416-2164 Ph: (860) 316-5577 |
Ms. Kristy Lee Notarangelo, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 110 Court St, Suite 5, Cromwell, CT 06416 Phone: 860-632-1326 Fax: 860-632-1028 | |
Mrs. Laura Kuehn, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 34/3 Shunpike Rd, Cromwell, CT 06416 Phone: 860-288-7870 | |
Theresa L. Hixson, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 110 Court St Ste 3, Cromwell, CT 06416 Phone: 860-613-9930 Fax: 860-613-9952 | |
Ms. Frances A Shaver, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 110 Court St Ste 3, Cromwell, CT 06416 Phone: 860-613-9930 Fax: 860-613-9952 | |
Mrs. Jaime Bliss Guilmette, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 80 Shunpike Rd, Unit 207, Cromwell, CT 06416 Phone: 860-798-4963 Fax: 860-852-5904 | |
Shannone Pettie, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 58 Missionary Rd, Cromwell, CT 06416 Phone: 860-635-3010 |