Lisa Ellen Dewitt, LCSW is a
Social Worker - Clinical based in East Hartford, Connecticut. Lisa Ellen Dewitt is licensed to practice in Connecticut (license number 007577) and her current practice location is
77 Cherry St, East Hartford, Connecticut. She can be reached at her office (for appointments etc.) via phone at
(860) 428-9158.
NPI number for Lisa Ellen Dewitt is 1477561488 and her current mailing address is 79 Doubleday Rd, Columbia, Connecticut. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1477561488.
Healthcare Provider's Profile
Full Name | Lisa Ellen Dewitt |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 77 Cherry St, East Hartford, Connecticut |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1477561488
- Provider Enumeration Date: 08/04/2006
- Last Update Date: 03/25/2021
Medical Identifiers
Medical identifiers for Lisa Ellen Dewitt such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1477561488 | NPI | - | NPPES |
004040564 | Medicaid | CT | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
1041C0700X | Social Worker - Clinical | 007577 (Connecticut) | Primary |
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. Lisa Ellen Dewitt is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Lisa Ellen Dewitt, LCSW 79 Doubleday Rd, Columbia, CT 06237-1400 Ph: (860) 428-9158 | Lisa Ellen Dewitt, LCSW 77 Cherry St, East Hartford, CT 06108-2053 Ph: (860) 428-9158 |
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