Nathalia Dorival, | |
731 Main St Ste 122, Monroe, CT 06468-2872 | |
(203) 261-7090 | |
Not Available |
Full Name | Nathalia Dorival |
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Gender | Female |
Speciality | Social Worker - Clinical |
Location | 731 Main St Ste 122, Monroe, Connecticut |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1336578681 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 009872 (Connecticut) | Primary |
Entity Name | Key Therapy Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1114393493 PECOS PAC ID: 6204185010 Enrollment ID: O20180827003149 |
Mailing Address | Practice Location Address |
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Nathalia Dorival, 731 Main St, Monroe, CT 06468-2872 Ph: (203) 261-7090 | Nathalia Dorival, 731 Main St Ste 122, Monroe, CT 06468-2872 Ph: (203) 261-7090 |
Mrs. Charmaine Wright, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 731 Main St Ste 122, Monroe, CT 06468 Phone: 203-261-7090 Fax: 888-856-3413 | |
Miss Jacqueline M D'louhy, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 115 Main St Main Street Counseling, Unit 3, Monroe, CT 06468 Phone: 203-952-3644 | |
Julia Teitelbaum, MSW, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 731 Main St, Monroe, CT 06468 Phone: 203-261-7090 Fax: 888-856-3413 | |
Mrs. Danielle Maryott, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 755 Main Street No. 8 Suite B, Monroe, CT 06468 Phone: 203-629-2822 Fax: 203-629-2940 | |
Ms. Deborah Ann Sakal, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 477 Main St, Suite 208, Monroe, CT 06468 Phone: 203-268-1390 Fax: 203-220-2247 | |
Ryan Balis, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 107 Bart Rd, Monroe, CT 06468 Phone: 203-275-6468 |