| Catholic Charities - Norwalk | |
|
120 East Ave. 2nd Floor Norwalk CT 06851-4841 | |
| (203) 750-9711 | |
| (203) 750-9651 |
| Full Name | Catholic Charities - Norwalk |
|---|---|
| Speciality | Clinic/Center |
| Location | 120 East Ave., Norwalk, Connecticut |
| Authorized Official Name and Position | Al Barber (PRESIDENT) |
| Authorized Official Contact | 2034161307 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Catholic Charities - Norwalk 120 East Ave. 2nd Floor Norwalk CT 06851-4841 Ph: (203) 750-9711 | Catholic Charities - Norwalk 120 East Ave. 2nd Floor Norwalk CT 06851-4841 Ph: (203) 750-9711 |
| NPI Number | 1972727394 |
|---|---|
| Provider Enumeration Date | 04/13/2007 |
| Last Update Date | 02/18/2016 |
| Medicare PECOS PAC ID | 8527955970 |
|---|---|
| Medicare Enrollment ID | O20040315000564 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972727394 | NPI | - | NPPES |
| 004040655 | Medicaid | CT |
| Provider Name | Mikhail L Magid |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1528132685 PECOS PAC ID: 7719874064 Enrollment ID: I20040302000138 |
| Provider Name | Lisa Cari Vazquez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942637970 PECOS PAC ID: 0244469963 Enrollment ID: I20140129000883 |
| Provider Name | Jennifer Ellis Mcnamara |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1811426596 PECOS PAC ID: 4284993023 Enrollment ID: I20180124000338 |
| Provider Name | William Brown |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1780247528 PECOS PAC ID: 4880023191 Enrollment ID: I20200408002093 |
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