Thomas Albert Fortier, | |
97 Colonial Ct, Plainville, CT 06062-2001 | |
(860) 416-9799 | |
Not Available |
Full Name | Thomas Albert Fortier |
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Gender | Male |
Speciality | Social Worker - Clinical |
Location | 97 Colonial Ct, Plainville, Connecticut |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1245095033 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 13722 (Connecticut) | Primary |
Entity Name | Connecticut Mental Health Specialists Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1053362814 PECOS PAC ID: 0345130563 Enrollment ID: O20040319000165 |
Mailing Address | Practice Location Address |
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Thomas Albert Fortier, 97 Colonial Ct, Plainville, CT 06062-2001 Ph: (860) 416-9799 | Thomas Albert Fortier, 97 Colonial Ct, Plainville, CT 06062-2001 Ph: (860) 416-9799 |
Ms. Kendra Lyn Labrie, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 100 Northampton Lane, A5, Plainville, CT 06062 Phone: 860-302-9680 | |
Kristen Bernier Vavrek, LCSW Clinical Social Worker Medicare: May Accept Medicare Assignments Practice Location: 49 Broad St, Plainville, CT 06062 Phone: 720-530-7186 | |
Mrs. Stacey Marshall Henson, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 91 Northwest Dr, Plainville, CT 06062 Phone: 860-586-9465 Fax: 860-232-5049 | |
Mrs. Whitney Simone Wilfred, Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 91 Northwest Dr, Plainville, CT 06062 Phone: 860-793-3500 | |
Melissa Brea Conway, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 74 East St, Plainville, CT 06062 Phone: 860-793-4480 | |
Mrs. Nicolina Renee Ku, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 88 East St, Plainville, CT 06062 Phone: 860-793-7277 | |
Mrs. Alexandra Favale, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 91 Northwest Dr, Plainville, CT 06062 Phone: 860-793-3500 |