| Carroll Foley Psychotherapy Llc | |
|
47 Bradford Walk Farmington CT 06032-4530 | |
| (203) 707-8495 | |
| Not Available |
| Full Name | Carroll Foley Psychotherapy Llc |
|---|---|
| Speciality | Social Worker |
| Location | 47 Bradford Walk, Farmington, Connecticut |
| Authorized Official Name and Position | Carroll Foley (LCSW) |
| Authorized Official Contact | 2037078495 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Carroll Foley Psychotherapy Llc 47 Bradford Walk Farmington CT 06032-4530 Ph: () - | Carroll Foley Psychotherapy Llc 47 Bradford Walk Farmington CT 06032-4530 Ph: (203) 707-8495 |
| NPI Number | 1134990930 |
|---|---|
| Provider Enumeration Date | 01/10/2024 |
| Last Update Date | 01/10/2024 |
| Certification Date | 01/10/2024 |
| Medicare PECOS PAC ID | 8224474366 |
|---|---|
| Medicare Enrollment ID | O20240311003428 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134990930 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Carroll Foley |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1528758166 PECOS PAC ID: 6608223425 Enrollment ID: I20231115002157 |
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