| Anita Weicht, Lcsw, Llc | |
|
300 Church St Rt 68 Yalesville CT 06492 | |
| (203) 265-7770 | |
| (203) 239-1422 |
| Full Name | Anita Weicht, Lcsw, Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 300 Church St Rt 68, Yalesville, Connecticut |
| Authorized Official Name and Position | Anita Catherine Weicht (CLINICAL SOCIAL WORKER) |
| Authorized Official Contact | 2032391422 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Anita Weicht, Lcsw, Llc 91 Pool Road North Haven CT 06473 Ph: (203) 265-7770 | Anita Weicht, Lcsw, Llc 300 Church St Rt 68 Yalesville CT 06492 Ph: (203) 265-7770 |
| NPI Number | 1164538112 |
|---|---|
| Provider Enumeration Date | 08/22/2006 |
| Last Update Date | 07/21/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164538112 | NPI | - | NPPES |
| 004243010 | Medicaid | CT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 004245 (Connecticut) | Primary |
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