| Barbara E. Doak, Lcsw Llc | |
|
460 Squaw Hollow Rd Ashford CT 06278-1823 | |
| (860) 254-4972 | |
| Not Available |
| Full Name | Barbara E. Doak, Lcsw Llc |
|---|---|
| Speciality | Social Worker |
| Location | 460 Squaw Hollow Rd, Ashford, Connecticut |
| Authorized Official Name and Position | Sue Roach (BILLING MANAGER) |
| Authorized Official Contact | 8603687092 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Barbara E. Doak, Lcsw Llc 460 Squaw Hollow Rd Ashford CT 06278-1823 Ph: (860) 254-4972 | Barbara E. Doak, Lcsw Llc 460 Squaw Hollow Rd Ashford CT 06278-1823 Ph: (860) 254-4972 |
| NPI Number | 1114449964 |
|---|---|
| Provider Enumeration Date | 07/13/2017 |
| Last Update Date | 09/15/2020 |
| Certification Date | 09/15/2020 |
| Medicare PECOS PAC ID | 5799031456 |
|---|---|
| Medicare Enrollment ID | O20180711000156 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114449964 | NPI | - | NPPES |
| 1639239338 | Other | INDIVIDUAL NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 005980 (Connecticut) | Primary |
| Provider Name | Barbara E Doak |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1639239338 PECOS PAC ID: 4183716996 Enrollment ID: I20070824000465 |
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