| Adolescent & Family Counseling Center, Llc | |
|
350 S Main St The Republic Building / Suite 23 Cheshire CT 06410-3160 | |
| (203) 271-1234 | |
| (203) 272-9094 |
| Full Name | Adolescent & Family Counseling Center, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 350 S Main St, Cheshire, Connecticut |
| Authorized Official Name and Position | Herbert Jay Rosenfield (DIRECTOR) |
| Authorized Official Contact | 2032711234 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Adolescent & Family Counseling Center, Llc 350 S Main St The Republic Building / Suite 23 Cheshire CT 06410-3160 Ph: (203) 271-1234 | Adolescent & Family Counseling Center, Llc 350 S Main St The Republic Building / Suite 23 Cheshire CT 06410-3160 Ph: (203) 271-1234 |
| NPI Number | 1811906241 |
|---|---|
| Provider Enumeration Date | 08/05/2006 |
| Last Update Date | 07/07/2008 |
| Medicare PECOS PAC ID | 4486679560 |
|---|---|
| Medicare Enrollment ID | O20051007000412 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811906241 | NPI | - | NPPES |
| 7348011 | Other | CT | AETNA HEALTH MANAGEMENT |
| A391854 | Other | CT | OXFORD HEALTH PLAN |
| 004257160 | Medicaid | CT | |
| 004257194 | Medicaid | CT | |
| 248108 | Other | CT | MANAGED HEALTH NETWORK |
| 004257201 | Medicaid | CT |
| Provider Name | Linda J Rosenfield |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1689625725 PECOS PAC ID: 9638194723 Enrollment ID: I20051007000449 |
| Provider Name | Herbert J Rosenfield |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1467403576 PECOS PAC ID: 8921023003 Enrollment ID: I20051007000460 |
| Provider Name | Wendy Sauer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1255392734 PECOS PAC ID: 3173541125 Enrollment ID: I20051109000781 |
| Provider Name | Irene M Obrien |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1376796730 PECOS PAC ID: 4981720745 Enrollment ID: I20100929000838 |
| Provider Name | Sarah Borlo |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1336668144 PECOS PAC ID: 0143568782 Enrollment ID: I20190206003030 |
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