Mrs Theresa Ouellette, LCSW | |
27 Naek Rd Ste 4, Vernon, CT 06066-3965 | |
(860) 982-9825 | |
(860) 870-9384 |
Full Name | Mrs Theresa Ouellette |
---|---|
Gender | Female |
Speciality | Clinical Social Worker |
Experience | 15 Years |
Location | 27 Naek Rd Ste 4, Vernon, 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 |
---|---|---|---|
1063823839 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | 008628 (Connecticut) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Hockanum Valley Community Council, Inc. | 3476534017 | 5 |
Entity Name | Hockanum Valley Community Council, Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1336179480 PECOS PAC ID: 3476534017 Enrollment ID: O20040601000823 |
Mailing Address | Practice Location Address |
---|---|
Mrs Theresa Ouellette, LCSW 27 Naek Rd Ste 4, Vernon, CT 06066-3965 Ph: (860) 982-9825 | Mrs Theresa Ouellette, LCSW 27 Naek Rd Ste 4, Vernon, CT 06066-3965 Ph: (860) 982-9825 |
Dennis Tomczak, Counselor Medicare: Not Enrolled in Medicare Practice Location: 201 Regan Rd Apt 33a, Vernon, CT 06066 Phone: 860-916-1816 | |
Ms. Gwendolyn Elaine Hayes, LCSW Counselor Medicare: May Accept Medicare Assignments Practice Location: 35 Talcottville Rd Ste 10, Vernon, CT 06066 Phone: 860-558-2554 | |
Mrs. Marissa Brook Cormier, LCSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 27 Naek Rd Ste 4, Vernon, CT 06066 Phone: 860-872-9825 Fax: 860-870-9384 | |
Nikki Gilgosky, Counselor Medicare: Not Enrolled in Medicare Practice Location: 27 Naek Rd Ste 4, Vernon, CT 06066 Phone: 860-872-9835 | |
Brianna Gurn, Counselor Medicare: Not Enrolled in Medicare Practice Location: 155 W Main St, Apt 309, Vernon, CT 06066 Phone: 860-617-0247 | |
Ms. Nancy Taylor Dunn, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 933 Hartford Tpke, Vernon, CT 06066 Phone: 860-872-7696 Fax: 860-871-0252 |