Nicole Belisle, is a
Social Worker - Clinical based in New Haven, Connecticut. Nicole Belisle is licensed to practice in Connecticut (license number 6124) and her current practice location is
205 Orange St, New Haven, Connecticut. She can be reached at her office (for appointments etc.) via phone at
(203) 776-9900.
NPI number for Nicole Belisle is 1376822171 and her current mailing address is 205 Orange St, New Haven, Connecticut. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1376822171.
Healthcare Provider's Profile
Full Name | Nicole Belisle |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 205 Orange St, New Haven, Connecticut |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1376822171
- Provider Enumeration Date: 08/10/2011
- Last Update Date: 08/10/2011
Medical Identifiers
Medical identifiers for Nicole Belisle such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1376822171 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YA0400X | Counselor - Addiction (substance Use Disorder) | 550 (Connecticut) | Secondary |
1041C0700X | Social Worker - Clinical | 6124 (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. Nicole Belisle 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 |
Nicole Belisle, 205 Orange St, New Haven, CT 06510-2069 Ph: () - | Nicole Belisle, 205 Orange St, New Haven, CT 06510-2069 Ph: (203) 776-9900 |
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