| Amy Labinger-gothers Lcsw Llc | |
|
5 Forest Park Dr Farmington CT 06032-1476 | |
| (860) 678-0323 | |
| Not Available |
| Full Name | Amy Labinger-gothers Lcsw Llc |
|---|---|
| Speciality | Social Worker |
| Location | 5 Forest Park Dr, Farmington, Connecticut |
| Authorized Official Name and Position | Amy Labinger-gothers (LICENSED CLINICAL SOCIAL WORKER) |
| Authorized Official Contact | 8604909591 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Amy Labinger-gothers Lcsw Llc 8 Duffield Dr West Hartford CT 06107-1213 Ph: () - | Amy Labinger-gothers Lcsw Llc 5 Forest Park Dr Farmington CT 06032-1476 Ph: (860) 678-0323 |
| NPI Number | 1871093088 |
|---|---|
| Provider Enumeration Date | 02/14/2018 |
| Last Update Date | 09/20/2018 |
| Medicare PECOS PAC ID | 3678824679 |
|---|---|
| Medicare Enrollment ID | O20181001000905 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871093088 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Amy Labinger-gothers |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1235672171 PECOS PAC ID: 4981955960 Enrollment ID: I20181002001307 |
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