| Tezeta Gudeta Mammo, | |
|
428 Columbus Ave, New Haven, CT 06519-1233 | |
| (203) 503-3290 | |
| (203) 503-3066 |
| Full Name | Tezeta Gudeta Mammo |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 428 Columbus Ave, New Haven, Connecticut |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922282342 | NPI | - | NPPES |
| 004235900 | Medicaid | CT | |
| 004235918 | Medicaid | CT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 7530 (Connecticut) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Tezeta Gudeta Mammo, 428 Columbus Ave, New Haven, CT 06519-1233 Ph: (203) 503-3290 | Tezeta Gudeta Mammo, 428 Columbus Ave, New Haven, CT 06519-1233 Ph: (203) 503-3290 |
Ms. Marie J. Morris, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 79 Trumbull St, New Haven, CT 06511 Phone: 203-865-4070 | |
Heather Lynn Maurizio, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 98 York St, New Haven, CT 06511 Phone: 203-584-0323 | |
Erica Crawford Holahan, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 182 Willard St, New Haven, CT 06515 Phone: 203-687-5971 | |
Bernadette Bimonte-hackett, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 20 York St, Social Work Ep10-635, New Haven, CT 06510 Phone: 203-785-5161 Fax: 203-688-2395 | |
Jessica Pena Pardo, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 400 Columbus Avenue, Adult Psychiatric Clinic, New Haven, CT 06519 Phone: 203-503-3075 Fax: 203-503-3296 | |
Amy Catherine Page, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 12 Fountain St, New Haven, CT 06515 Phone: 203-651-5031 | |
Christopher Lodi, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 330 Orchard St, New Haven, CT 06511 Phone: 203-208-5368 Fax: 410-861-6262 |