Kathleen Watanabe, LCSW LADC is a medicare enrolled "Social Worker - Clinical" provider in Middletown, Connecticut. She graduated from healthcare school in 1995 and has 29 years of diverse experience with area of expertise as Clinical Social Worker. Her current practice location is
154 College St, Middletown, Connecticut. You can reach out to her office (for appointments etc.) via phone at
(860) 347-8894.
Kathleen Watanabe is licensed to practice in Connecticut (license number 004228) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1518079730.
Healthcare Provider's Profile
| Full Name | Kathleen Watanabe |
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| Gender | Female |
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| Speciality | Clinical Social Worker |
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| Experience | 29 Years |
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| Location | 154 College St, Middletown, Connecticut |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Kathleen Watanabe graduated from medical school in 1995
NPI Data:
- NPI Number: 1518079730
- Provider Enumeration Date: 09/01/2006
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID: 0042486813
- Enrollment ID: I20111228000296
Medical Identifiers
Medical identifiers for Kathleen Watanabe such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1518079730 | NPI | - | NPPES |
| 140004228CT01 | Other | CT | ANTHEM |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 00039 (Connecticut) | Primary |
| 1041C0700X | Social Worker - Clinical | 004228 (Connecticut) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Kathleen Watanabe allows following entities to bill medicare on her behalf.
| Entity Name | College Street Counseling Center Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1093089948
PECOS PAC ID: 7012179641
Enrollment ID: O20120427000166 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kathleen Watanabe is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
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Kathleen Watanabe, LCSW LADC
154 College St,
Middletown, CT 06457
Ph: (860) 347-8894 | Kathleen Watanabe, LCSW LADC
154 College St,
Middletown, CT 06457
Ph: (860) 347-8894 |
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