| Sandra Dickens, | |
|
1 Enterprise Dr Ste 415, Shelton, CT 06484-4631 | |
| (203) 255-5078 | |
| Not Available |
| Full Name | Sandra Dickens |
|---|---|
| Gender | Female |
| Speciality | Clinical Social Worker |
| Experience | 21 Years |
| Location | 1 Enterprise Dr Ste 415, Shelton, Connecticut |
| Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023831765 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 14538 (Connecticut) | Primary |
| Entity Name | Southern Connecticut Christian Counseling Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1164652871 PECOS PAC ID: 9133266109 Enrollment ID: O20091023000126 |
| Mailing Address | Practice Location Address |
|---|---|
| Sandra Dickens, 12 Elmwood Dr, Seymour, CT 06483-2433 Ph: Not Available | Sandra Dickens, 1 Enterprise Dr Ste 415, Shelton, CT 06484-4631 Ph: (203) 255-5078 |
Rebecca Rotondo, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1000 Bridgeport Ave Ste 202, Shelton, CT 06484 Phone: 203-759-8462 Fax: 203-242-1165 |
Christine Zangrillo, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 1000 Bridgeport Ave Ste 202, Shelton, CT 06484 Phone: 203-712-9998 Fax: 203-242-1165 |
Mr. Kenneth Michael Lacilla, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 476 Howe Ave, Suite 4, Shelton, CT 06484 Phone: 203-924-9426 |
Cori Testani, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2 Trap Falls Rd, Shelton, CT 06484 Phone: 203-816-6424 |
Daphne Elliott, LCSW Clinical Social Worker Medicare: May Accept Medicare Assignments Practice Location: 110 Commerce Dr, Shelton, CT 06484 Phone: 203-929-7331 Fax: 203-925-0330 |
Tracy Clough, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 515 Bridgeport Ave, Shelton, CT 06484 Phone: 973-809-4722 |
Jilian Acevedo-genao, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 110 Commerce Dr, Shelton, CT 06484 Phone: 203-929-7331 Fax: 203-925-0330 |