Mrs Katherine Fontaine, LICSW | |
444 Center St, Manchester, CT 06040-3926 | |
(860) 646-3888 | |
(860) 731-5536 |
Full Name | Mrs Katherine Fontaine |
---|---|
Gender | Female |
Speciality | Social Worker - Clinical |
Location | 444 Center St, Manchester, Connecticut |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1013172311 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
Entity Name | Prospect Ct Medical Foundation Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1144677568 PECOS PAC ID: 7416244496 Enrollment ID: O20160919001322 |
Mailing Address | Practice Location Address |
---|---|
Mrs Katherine Fontaine, LICSW 2 Allen St # C, Hampden, MA 01036-9552 Ph: (413) 200-8874 | Mrs Katherine Fontaine, LICSW 444 Center St, Manchester, CT 06040-3926 Ph: (860) 646-3888 |
Michael Powers, M.S.W., L.C.S.W. Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 139 E Center St, Suite 2c, Manchester, CT 06040 Phone: 860-648-1078 Fax: 860-648-1078 | |
Yvette M. Thibodeau, Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 19 Downey Drive, Apt D, Manchester, CT 06040 Phone: 860-436-2341 | |
Mrs. Sarah Anne Macdonald, LCSW Clinical Social Worker Medicare: May Accept Medicare Assignments Practice Location: 587 E Middle Tpke, Manchester, CT 06040 Phone: 860-646-3888 Fax: 860-645-4132 | |
Mrs. Cory Bernard, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 71 Haynes St, Behavioral Health Unit, Manchester, CT 06040 Phone: 860-646-1222 Fax: 860-533-2958 | |
Zelda Wanstok, Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 444 Center St, Manchester, CT 06040 Phone: 860-731-5522 Fax: 860-731-5536 | |
Ilaya L. Velazquez, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 317 N Main St, Manchester, CT 06042 Phone: 860-643-2101 |