Ms Lisa J Moon, LCSW | |
21 Montauk Ave, New London, CT 06320-4906 | |
(860) 271-4715 | |
Not Available |
Full Name | Ms Lisa J Moon |
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Gender | Female |
Speciality | Social Worker - Clinical |
Location | 21 Montauk Ave, New London, Connecticut |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1427112390 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 8680 (Connecticut) | Primary |
Entity Name | Sound Community Services Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1396700886 PECOS PAC ID: 7517981517 Enrollment ID: O20060117001127 |
Mailing Address | Practice Location Address |
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Ms Lisa J Moon, LCSW Po Box 390, New London, CT 06320-0390 Ph: (860) 271-4715 | Ms Lisa J Moon, LCSW 21 Montauk Ave, New London, CT 06320-4906 Ph: (860) 271-4715 |
Ms. Katelyn Baez, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 164 Hempstead St, New London, CT 06320 Phone: 860-910-4881 | |
Alexandra Bruce, MA Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 7 Vauxhall St, New London, CT 06320 Phone: 860-437-4550 Fax: 860-661-4262 | |
Molly Winship, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 7 Vauxhall St, New London, CT 06320 Phone: 860-442-2797 Fax: 860-701-3776 | |
Cheryl Cote, M.S.W. Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 21 Montauk Ave, New London, CT 06320 Phone: 860-271-4700 | |
Erin C Janicek, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 7 Vauxhall Street, New London, CT 06320 Phone: 860-442-2797 Fax: 860-701-3776 | |
Pamela Davies, MSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 255 Hempstead St, New London, CT 06320 Phone: 860-443-2896 Fax: 860-442-5909 | |
Linda Cunningham, Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 41 Fair Harbour Pl, New London, CT 06320 Phone: 860-437-6914 |