Mr Pacific Thomas Giordano, LCSW, LADC | |
10 Progress Dr, Shelton, CT 06484-6216 | |
(203) 538-6244 | |
(203) 732-1529 |
Full Name | Mr Pacific Thomas Giordano |
---|---|
Gender | Male |
Speciality | Counselor - Addiction (substance Use Disorder) |
Location | 10 Progress Dr, Shelton, Connecticut |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1932621745 | NPI | - | NPPES |
008074397 | Medicaid | CT |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YA0400X | Counselor - Addiction (substance Use Disorder) | 1245 (Connecticut) | Secondary |
Entity Name | The Griffin Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1184639973 PECOS PAC ID: 8921901984 Enrollment ID: O20040128000937 |
Entity Name | State Of Connecticut |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1881629434 PECOS PAC ID: 8022915677 Enrollment ID: O20041227000221 |
Mailing Address | Practice Location Address |
---|---|
Mr Pacific Thomas Giordano, LCSW, LADC 641 Peddlers Rd, Guilford, CT 06437-4313 Ph: (203) 843-5071 | Mr Pacific Thomas Giordano, LCSW, LADC 10 Progress Dr, Shelton, CT 06484-6216 Ph: (203) 538-6244 |
Cornelia Morris, LADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 12 Crescent St, Shelton, CT 06484 Phone: 203-589-4912 | |
Kristin Rice, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 109 Heather Rdg, Shelton, CT 06484 Phone: 203-727-7252 | |
Ms. Lorraine M Coakley, MS LADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 273 Sunwood Drive, Shelton, CT 06484 Phone: 203-929-5661 Fax: 203-929-5661 | |
Mrs. Jennifer Lynn Ryan, MS, LADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 30 Controls Drive, Suite 10, Shelton, CT 06484 Phone: 475-675-2981 Fax: 475-675-2982 | |
Shakeya Tyneice Blakes, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1 Enterprise Dr Ste 415, Shelton, CT 06484 Phone: 203-255-5078 Fax: 203-295-7663 | |
Joshua Goodwin, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1 Enterprise Dr, Shelton, CT 06484 Phone: 203-255-5078 | |
Jennifer Demayo, NCC, LMHC, LPC Counselor Medicare: Medicare Enrolled Practice Location: 2 Corporate Dr Ste 950, Shelton, CT 06484 Phone: 860-264-5565 |