Stephen R Machattie, | |
843 Main St Ste 11, Manchester, CT 06040 | |
(860) 643-8870 | |
Not Available |
Full Name | Stephen R Machattie |
---|---|
Gender | Male |
Speciality | Social Worker - Clinical |
Location | 843 Main St Ste 11, Manchester, Connecticut |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1306217765 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 008950 (Connecticut) | Primary |
Entity Name | Cultivating Change Counseling Services, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1275959769 PECOS PAC ID: 8628384484 Enrollment ID: O20150825004447 |
Entity Name | Charter Oak Family Center Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1538622618 PECOS PAC ID: 4082957014 Enrollment ID: O20190515001176 |
Mailing Address | Practice Location Address |
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Stephen R Machattie, 843 Main St Ste 11, Manchester, CT 06040-6041 Ph: (860) 643-8870 | Stephen R Machattie, 843 Main St Ste 11, Manchester, CT 06040 Ph: (860) 643-8870 |
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 |