Ms Shelly L Kennedy, LCSW | |
9 Austin Dr Ste 201, Marlborough, CT 06447-1375 | |
(860) 300-6700 | |
Not Available |
Full Name | Ms Shelly L Kennedy |
---|---|
Gender | Female |
Speciality | Social Worker - Clinical |
Location | 9 Austin Dr Ste 201, Marlborough, Connecticut |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1437446119 | NPI | - | NPPES |
1437446119 | Medicaid | CT |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 007381 (Connecticut) | Primary |
Entity Name | Seeds Of Hope Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1831615616 PECOS PAC ID: 1052671039 Enrollment ID: O20180213000917 |
Mailing Address | Practice Location Address |
---|---|
Ms Shelly L Kennedy, LCSW Po Box 623, Harwich Port, MA 02646-0623 Ph: (860) 300-6700 | Ms Shelly L Kennedy, LCSW 9 Austin Dr Ste 201, Marlborough, CT 06447-1375 Ph: (860) 300-6700 |
Erin Mcguinness, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 20 South Rd, Marlborough, CT 06447 Phone: 860-975-8032 | |
Mrs. Fikesola Ayeni, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 46 Laurel Ln, Marlborough, CT 06447 Phone: 860-918-3663 | |
Emma Kay Henderschedt, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 57 Williamsburg Rd, Marlborough, CT 06447 Phone: 860-573-9236 |