Mrs Laura Burtt Hetherington, LCSW | |
11 Main St Ste 11-211a, Mystic, CT 06355-3654 | |
(860) 415-6165 | |
(860) 701-3776 |
Full Name | Mrs Laura Burtt Hetherington |
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Gender | Female |
Speciality | Social Worker - Clinical |
Location | 11 Main St Ste 11-211a, Mystic, Connecticut |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1649288655 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
Entity Name | Summit Counseling Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1871874537 PECOS PAC ID: 1254550569 Enrollment ID: O20140919000045 |
Mailing Address | Practice Location Address |
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Mrs Laura Burtt Hetherington, LCSW 296 Al Harvey Rd, Stonington, CT 06378-1902 Ph: (860) 917-5054 | Mrs Laura Burtt Hetherington, LCSW 11 Main St Ste 11-211a, Mystic, CT 06355-3654 Ph: (860) 415-6165 |
Shelley Beth Kingsbury, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1101 Noank Ledyard Rd # 12, Mystic, CT 06355 Phone: 860-861-8393 | |
Mrs. Shanna Tari Reels, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 282 Noank Ledyard Rd, Mystic, CT 06355 Phone: 860-245-5587 | |
Anne Rivers, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 12 Roosevelt Ave, Suite 203, Mystic, CT 06355 Phone: 860-536-4383 Fax: 860-536-2873 | |
Daniel Stubbs Brown, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 47 Water St, Mystic, CT 06355 Phone: 860-690-7048 | |
Ms. Cathy Ilene Adair, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 190 N Stonington Rd, Mystic, CT 06355 Phone: 860-536-8622 | |
Ms. Diana D Hutchinson, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4 Clipper Dr, Mystic, CT 06355 Phone: 860-608-1720 | |
Mrs. Cynthia Lou Masonjones, L.C.S.W. Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 11 Main St, 6, Mystic, CT 06355 Phone: 860-572-4969 Fax: 860-572-5767 |