Catholic Charities, Inc. - Archdiocese Of Hartford | |
132 Grove St Torrington CT 06790-5047 | |
(860) 482-5558 | |
(860) 489-2984 |
Full Name | Catholic Charities, Inc. - Archdiocese Of Hartford |
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Speciality | Clinic/Center |
Location | 132 Grove St, Torrington, Connecticut |
Authorized Official Name and Position | Rose Alma Senatore (CEO) |
Authorized Official Contact | 8604931841 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Catholic Charities, Inc. - Archdiocese Of Hartford 839 Asylum Ave Hartford CT 06105-2801 Ph: (860) 493-1841 | Catholic Charities, Inc. - Archdiocese Of Hartford 132 Grove St Torrington CT 06790-5047 Ph: (860) 482-5558 |
NPI Number | 1669566956 |
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Provider Enumeration Date | 10/03/2006 |
Last Update Date | 08/22/2020 |
Medicare PECOS PAC ID | 2567367469 |
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Medicare Enrollment ID | O20031204000340 |
Identifier | Type | State | Issuer |
---|---|---|---|
1669566956 | NPI | - | NPPES |
ANC1364 | Other | CO | OXFORD |
B000679 | Other | CO | CTGA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
Provider Name | Gregory N Peterson |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1619916962 PECOS PAC ID: 9830175736 Enrollment ID: I20040629001179 |
Provider Name | Jane E Clark |
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Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
Provider Identifiers | NPI Number: 1639262579 PECOS PAC ID: 7214969302 Enrollment ID: I20070212000381 |
Provider Name | Lisa C Diamond |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1184710550 PECOS PAC ID: 6800924663 Enrollment ID: I20100514000692 |
Provider Name | Robert V Erwin |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1962416685 PECOS PAC ID: 6406045608 Enrollment ID: I20110104000431 |
Provider Name | Monica Ann Starr |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1770868085 PECOS PAC ID: 5698906022 Enrollment ID: I20140815001393 |
Provider Name | Emily K Kloo |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1821497397 PECOS PAC ID: 8729368691 Enrollment ID: I20161212000417 |
Provider Name | Janice Blake |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1548822000 PECOS PAC ID: 4284060526 Enrollment ID: I20200205002681 |
Provider Name | Martell M Hawkins |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1982142808 PECOS PAC ID: 1254746027 Enrollment ID: I20210209002736 |
Provider Name | Sherly Boulay |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1851766737 PECOS PAC ID: 0547648180 Enrollment ID: I20220609001887 |
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