Raquel Roman, MA,BA | |
54 Pine St, Waterbury Clinical Services, Waterbury, CT 06710-2169 | |
(203) 756-7287 | |
(203) 596-0722 |
Full Name | Raquel Roman |
---|---|
Gender | Female |
Speciality | Counselor |
Location | 54 Pine St, Waterbury, Connecticut |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1992177455 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101Y00000X | Counselor | (* (Not Available)) | Primary |
Entity Name | Step Up Care Pc Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1154884740 PECOS PAC ID: 5496088346 Enrollment ID: O20190607000156 |
Mailing Address | Practice Location Address |
---|---|
Raquel Roman, MA,BA 141 E Main St, 4th Floor Administration, Waterbury, CT 06702-2310 Ph: (203) 574-9000 | Raquel Roman, MA,BA 54 Pine St, Waterbury Clinical Services, Waterbury, CT 06710-2169 Ph: (203) 756-7287 |
Myco Foy, MS Counselor Medicare: Not Enrolled in Medicare Practice Location: 141 E Main St, Waterbury, CT 06702 Phone: 203-574-9000 Fax: 203-574-9006 | |
Shana A Santana, BA Counselor Medicare: Not Enrolled in Medicare Practice Location: 141 E Main St, Waterbury, CT 06702 Phone: 203-574-9000 Fax: 203-574-9006 | |
Darian Andre Coleman, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 276 Highland Ave Ste 2n, Waterbury, CT 06708 Phone: 203-518-8218 | |
Mrs. Elizabeth Joan Prete, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 965 S Main St, Suite 1, Waterbury, CT 06706 Phone: 203-596-9724 Fax: 203-759-0566 | |
Mardea Zor, MSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 141 E Main St, Waterbury, CT 06702 Phone: 203-574-9000 Fax: 203-574-9006 | |
Kemar Bailey, BA Counselor Medicare: Not Enrolled in Medicare Practice Location: 141 E Main St, Waterbury, CT 06702 Phone: 203-575-0466 Fax: 203-575-1817 | |
Susan Broadus, Counselor Medicare: Not Enrolled in Medicare Practice Location: 141 E Main St, Waterbury, CT 06702 Phone: 203-574-9000 |