| Shaquetta O Dacosta, | |
|
642 Hilliard St Ste 1310, Manchester, CT 06042-2700 | |
| (203) 909-1509 | |
| Not Available |
| Full Name | Shaquetta O Dacosta |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 642 Hilliard St Ste 1310, Manchester, Connecticut |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164100236 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 007739 (Connecticut) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Shaquetta O Dacosta, 642 Hilliard St Ste 1310, Manchester, CT 06042-2700 Ph: () - | Shaquetta O Dacosta, 642 Hilliard St Ste 1310, Manchester, CT 06042-2700 Ph: (203) 909-1509 |
Michael Powers, M.S.W., L.C.S.W. Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 139 E Center St, Suite 2c, Manchester, CT 06040 Phone: 860-648-1078 Fax: 860-648-1078 | |
Mrs. Katherine Fontaine, LICSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 444 Center St, Manchester, CT 06040 Phone: 860-646-3888 Fax: 860-731-5536 | |
Yvette M. Thibodeau, Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 19 Downey Drive, Apt D, Manchester, CT 06040 Phone: 860-436-2341 | |
Mrs. Sarah Anne Macdonald, LCSW Clinical Social Worker Medicare: May Accept Medicare Assignments Practice Location: 587 E Middle Tpke, Manchester, CT 06040 Phone: 860-646-3888 Fax: 860-645-4132 | |
Mrs. Cory Bernard, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 71 Haynes St, Behavioral Health Unit, Manchester, CT 06040 Phone: 860-646-1222 Fax: 860-533-2958 | |
Zelda Wanstok, Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 444 Center St, Manchester, CT 06040 Phone: 860-731-5522 Fax: 860-731-5536 | |
Ilaya L. Velazquez, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 317 N Main St, Manchester, CT 06042 Phone: 860-643-2101 |