Samantha Burgos, LCSW | |
433 Silas Deane Hwy, Wethersfield, CT 06109-2123 | |
(860) 837-0300 | |
Not Available |
Full Name | Samantha Burgos |
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Gender | Female |
Speciality | Social Worker - Clinical |
Location | 433 Silas Deane Hwy, Wethersfield, Connecticut |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1215464052 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
Entity Name | Connecticut Children's Specialty Group, Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1669448882 PECOS PAC ID: 6002720117 Enrollment ID: O20031113000468 |
Mailing Address | Practice Location Address |
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Samantha Burgos, LCSW 433 Silas Deane Hwy, Wethersfield, CT 06109-2123 Ph: (860) 837-0300 | Samantha Burgos, LCSW 433 Silas Deane Hwy, Wethersfield, CT 06109-2123 Ph: (860) 837-0300 |
Amanda Wanat, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1177 Silas Deane Hwy, Wethersfield, CT 06109 Phone: 860-837-0401 | |
Catrina Franco, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 108 Harding St, Wethersfield, CT 06109 Phone: 860-459-8902 | |
Marie Ellen Goodine, Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 1177 Silas Deane Hwy Ste 3, Wethersfield, CT 06109 Phone: 860-837-0401 | |
Alanna Cofrancesco, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 24 Wolcott Hill Rd, Wethersfield, CT 06109 Phone: 959-200-3127 | |
Michelle Sarofin, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 47 Coleman Rd, Wethersfield, CT 06109 Phone: 203-886-9193 | |
Jacob James Carpenter, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 77 Charter Rd, Wethersfield, CT 06109 Phone: 802-380-9473 | |
Victoria Marie Hill, MSW/LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 99 Main St, Wethersfield, CT 06109 Phone: 036-412-0752 |