Miss Kristen Misiak, LMSW is a
Social Worker based in Bridgeport, Connecticut. Miss Kristen Misiak is licensed to practice in Connecticut (license number 001301) and her current practice location is
1046 Fairfield Ave, Bridgeport, Connecticut. She can be reached at her office (for appointments etc.) via phone at
(203) 330-6054.
NPI number for Miss Kristen Misiak is 1326240482 and her current mailing address is 1046 Fairfield Ave, 1046 Fairfield Ave, Bridgeport, Connecticut. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1326240482.
Healthcare Provider's Profile
| Full Name | Miss Kristen Misiak |
|---|
| Gender | Female |
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| Speciality | Social Worker |
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| Location | 1046 Fairfield Ave, Bridgeport, Connecticut |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1326240482
- Provider Enumeration Date: 06/01/2007
- Last Update Date: 05/12/2015
Medical Identifiers
Medical identifiers for Miss Kristen Misiak such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1326240482 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
| 104100000X | Social Worker | 001301 (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. Miss Kristen Misiak 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 |
|---|
Miss Kristen Misiak, LMSW
1046 Fairfield Ave, 1046 Fairfield Ave,
Bridgeport, CT 06605-1116
Ph: (203) 330-6054 | Miss Kristen Misiak, LMSW
1046 Fairfield Ave,
Bridgeport, CT 06605-1116
Ph: (203) 330-6054 |
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