| Angela M. Steliga, Licsw, Corp | |
|
25 Market St Ste 14 Swansea MA 02777-3998 | |
| (401) 523-0515 | |
| (508) 379-1112 |
| Full Name | Angela M. Steliga, Licsw, Corp |
|---|---|
| Speciality | Social Worker |
| Location | 25 Market St Ste 14, Swansea, Massachusetts |
| Authorized Official Name and Position | Angela Marie Steliga (PRESIDENT) |
| Authorized Official Contact | 4015230515 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Angela M. Steliga, Licsw, Corp 25 Market St Ste 14 Swansea MA 02777-3998 Ph: (401) 523-0515 | Angela M. Steliga, Licsw, Corp 25 Market St Ste 14 Swansea MA 02777-3998 Ph: (401) 523-0515 |
| NPI Number | 1639500846 |
|---|---|
| Provider Enumeration Date | 12/13/2013 |
| Last Update Date | 12/13/2013 |
| Medicare PECOS PAC ID | 9032347927 |
|---|---|
| Medicare Enrollment ID | O20140123000802 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639500846 | NPI | - | NPPES |
| 110084555A | Medicaid | MA | |
| P0551101 | Other | MA | PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 114167 (Massachusetts) | Primary |
| Provider Name | Angela M Steliga |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1467657387 PECOS PAC ID: 1153477203 Enrollment ID: I20090915000671 |
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