Kerrie Fisette, LCSW | |
365 Montauk Ave, New London, CT 06320-4700 | |
(860) 442-0711 | |
(860) 444-4767 |
Full Name | Kerrie Fisette |
---|---|
Gender | Female |
Speciality | Clinical Social Worker |
Experience | 26 Years |
Location | 365 Montauk Ave, New London, Connecticut |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1831260579 | NPI | - | NPPES |
4014679 | Medicaid | CT | |
4024972 | Medicaid | CT |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | 5037 (Connecticut) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Lawrence & Memorial Hospital | New london, CT | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Northeast Medical Group Inc | 1254233836 | 1244 |
Entity Name | Northeast Medical Group Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1043278351 PECOS PAC ID: 1254233836 Enrollment ID: O20040123000522 |
Mailing Address | Practice Location Address |
---|---|
Kerrie Fisette, LCSW 365 Montauk Ave, New London, CT 06320-4700 Ph: (860) 442-0711 | Kerrie Fisette, LCSW 365 Montauk Ave, New London, CT 06320-4700 Ph: (860) 442-0711 |
Nichole Burns, Counselor Medicare: Medicare Enrolled Practice Location: 21 Montauk Avene, New London, CT 06320 Phone: 860-271-4715 Fax: 860-271-4797 | |
Theresa M. Bonanomi, Counselor Medicare: Accepting Medicare Assignments Practice Location: 365 Montauk Ave, New London, CT 06320 Phone: 860-444-5141 | |
Bethany Gallant, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 21 Montauk Ave, New London, CT 06320 Phone: 860-443-0530 Fax: 860-443-0536 | |
Lindsay Warner, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 7 Vauxhall St, New London, CT 06320 Phone: 860-437-4550 Fax: 860-661-4262 | |
Marie Salvemini, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1 Shaws Cv, New London, CT 06320 Phone: 860-447-8304 Fax: 860-443-8720 | |
Katherine Cichon, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 300 State St, Suite 307, New London, CT 06320 Phone: 860-941-9380 | |
Madilynn Jane Delach, MS Counselor Medicare: Not Enrolled in Medicare Practice Location: 7 Vauxhall St, New London, CT 06320 Phone: 860-437-4550 |