Mrs Stefanie Laccone Thach, LCSW | |
235 Nicoll St, New Haven, CT 06511-2670 | |
(203) 624-2600 | |
(203) 562-6232 |
Full Name | Mrs Stefanie Laccone Thach |
---|---|
Gender | Female |
Speciality | Clinical Social Worker |
Experience | 18 Years |
Location | 235 Nicoll St, New Haven, Connecticut |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1902140890 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 007345 (Connecticut) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Spectrum Psychiatric Group Pc | 1254328610 | 16 |
Entity Name | Spectrum Psychiatric Group Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1558420653 PECOS PAC ID: 1254328610 Enrollment ID: O20040428000039 |
Entity Name | Sunrise Psychological Services Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1699199869 PECOS PAC ID: 7911130216 Enrollment ID: O20140512000200 |
Entity Name | Step Up Care Pc Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1154884740 PECOS PAC ID: 5496088346 Enrollment ID: O20190607000156 |
Mailing Address | Practice Location Address |
---|---|
Mrs Stefanie Laccone Thach, LCSW 235 Nicoll St, New Haven, CT 06511-2670 Ph: (203) 624-2600 | Mrs Stefanie Laccone Thach, LCSW 235 Nicoll St, New Haven, CT 06511-2670 Ph: (203) 624-2600 |
Ms. Marie J. Morris, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 79 Trumbull St, New Haven, CT 06511 Phone: 203-865-4070 | |
Heather Lynn Maurizio, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 98 York St, New Haven, CT 06511 Phone: 203-584-0323 | |
Erica Crawford Holahan, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 182 Willard St, New Haven, CT 06515 Phone: 203-687-5971 | |
Bernadette Bimonte-hackett, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 20 York St, Social Work Ep10-635, New Haven, CT 06510 Phone: 203-785-5161 Fax: 203-688-2395 | |
Jessica Pena Pardo, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 400 Columbus Avenue, Adult Psychiatric Clinic, New Haven, CT 06519 Phone: 203-503-3075 Fax: 203-503-3296 | |
Amy Catherine Page, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 12 Fountain St, New Haven, CT 06515 Phone: 203-651-5031 | |
Christopher Lodi, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 330 Orchard St, New Haven, CT 06511 Phone: 203-208-5368 Fax: 410-861-6262 |