Mrs Lisa Marie Rivera, | |
50 Dorrance St, Danielson, CT 06239-3609 | |
(860) 753-6014 | |
Not Available |
Full Name | Mrs Lisa Marie Rivera |
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Gender | Female |
Speciality | Social Worker - Clinical |
Location | 50 Dorrance St, Danielson, Connecticut |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1053856989 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 9611 (Connecticut) | Primary |
Entity Name | Full Circle Family Services At White Brook Farm, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1326587882 PECOS PAC ID: 1557646304 Enrollment ID: O20240228003027 |
Mailing Address | Practice Location Address |
---|---|
Mrs Lisa Marie Rivera, 50 Dorrance St, Danielson, CT 06239-3609 Ph: (860) 753-6014 | Mrs Lisa Marie Rivera, 50 Dorrance St, Danielson, CT 06239-3609 Ph: (860) 753-6014 |
Miriam Charles-flores, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 227 Main St, Danielson, CT 06239 Phone: 401-578-9411 Fax: 860-831-1140 | |
Patricia Placido, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 37 Commerce Ave, Danielson, CT 06239 Phone: 860-774-7179 Fax: 860-779-6526 | |
Mr. Lawrence Caffrey, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 13 Water St, Danielson, CT 06239 Phone: 860-779-5852 Fax: 860-779-5000 | |
Mrs. Sarah Hebert, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 227 Main St, Danielson, CT 06239 Phone: 860-774-2323 Fax: 860-831-1140 | |
Ms. Joan Kelly Lucason, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 70 Cottage St, Danielson, CT 06239 Phone: 860-774-0215 Fax: 860-774-0215 | |
Cathleen Codding, CSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 111 Westcott Rd, Danielson, CT 06239 Phone: 718-506-1115 Fax: 888-371-0842 |