| Cambridge Mental Health, Llc | |
|
71 W Dudley Town Rd Bloomfield CT 06002-5308 | |
| (860) 888-3518 | |
| Not Available |
| Full Name | Cambridge Mental Health, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 71 W Dudley Town Rd, Bloomfield, Connecticut |
| Authorized Official Name and Position | Terrian Levy (OWNER) |
| Authorized Official Contact | 8608883518 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Cambridge Mental Health, Llc 71 W Dudley Town Rd Bloomfield CT 06002-5308 Ph: (860) 888-3518 | Cambridge Mental Health, Llc 71 W Dudley Town Rd Bloomfield CT 06002-5308 Ph: (860) 888-3518 |
| NPI Number | 1336639442 |
|---|---|
| Provider Enumeration Date | 05/14/2018 |
| Last Update Date | 05/07/2021 |
| Certification Date | 05/07/2021 |
| Medicare PECOS PAC ID | 9739435207 |
|---|---|
| Medicare Enrollment ID | O20180713001216 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336639442 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Secondary |
| Provider Name | Terrian Amoy Levy |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1154762268 PECOS PAC ID: 0648526111 Enrollment ID: I20180713001467 |
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