Mr Michael Reynolds, LCSW | |
25 Summit Dr, Wallingford, CT 06492-3951 | |
(203) 415-5995 | |
Not Available |
Full Name | Mr Michael Reynolds |
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Gender | Male |
Speciality | Social Worker - Clinical |
Location | 25 Summit Dr, Wallingford, Connecticut |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1255083788 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 11877 (Connecticut) | Primary |
Entity Name | Bridgeport Hospital |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1649260845 PECOS PAC ID: 2062312598 Enrollment ID: O20040120000425 |
Mailing Address | Practice Location Address |
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Mr Michael Reynolds, LCSW 25 Summit Dr, Wallingford, CT 06492-3951 Ph: (203) 415-5995 | Mr Michael Reynolds, LCSW 25 Summit Dr, Wallingford, CT 06492-3951 Ph: (203) 415-5995 |
Irene Scanlon, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 50 Gaylord Farm Rd, Wallingford, CT 06492 Phone: 203-741-3413 | |
Ms. Melinda E. Sharpe, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 521 N Elm St, Wallingford, CT 06492 Phone: 203-284-0238 Fax: 203-284-0238 | |
Delvin John Ramirez, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 35 Thorpe Ave Ste 104, Wallingford, CT 06492 Phone: 860-460-2573 | |
Amanda Papa, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 300 Church St Ste 105, Wallingford, CT 06492 Phone: 203-679-0849 Fax: 888-803-8363 | |
Amanda Scholl, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 50 Gaylord Farm Rd, Wallingford, CT 06492 Phone: 203-284-2734 | |
Michael Pasinski, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 6 Mcnabola Ln, Wallingford, CT 06492 Phone: 203-589-7428 | |
Ms. Judy Robin Kopman-fried, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 950 Yale Ave, Wallingford, CT 06492 Phone: 203-269-3488 Fax: 203-272-6163 |