| Carolyn D Frye Lcsw Llc | |
|
901 Main St Manchester CT 06040-6008 | |
| (860) 817-8281 | |
| (203) 439-2087 |
| Full Name | Carolyn D Frye Lcsw Llc |
|---|---|
| Speciality | Social Worker |
| Location | 901 Main St, Manchester, Connecticut |
| Authorized Official Name and Position | Carolyn D Frye (OWNER) |
| Authorized Official Contact | 8608178281 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Carolyn D Frye Lcsw Llc 901 Main St Manchester CT 06040-6008 Ph: (860) 817-8281 | Carolyn D Frye Lcsw Llc 901 Main St Manchester CT 06040-6008 Ph: (860) 817-8281 |
| NPI Number | 1912446691 |
|---|---|
| Provider Enumeration Date | 02/15/2017 |
| Last Update Date | 02/15/2017 |
| Medicare PECOS PAC ID | 0446535694 |
|---|---|
| Medicare Enrollment ID | O20170330001055 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912446691 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 007707 (Connecticut) | Primary |
| Provider Name | Carolyn D Frye |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1316223712 PECOS PAC ID: 8527228063 Enrollment ID: I20120321000245 |
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