| Clinical Consultation & Mediation Llc | |
|
2558 Whitney Ave Hamden CT 06518-3046 | |
| (203) 675-9823 | |
| Not Available |
| Full Name | Clinical Consultation & Mediation Llc |
|---|---|
| Speciality | Social Worker |
| Location | 2558 Whitney Ave, Hamden, Connecticut |
| Authorized Official Name and Position | Stacey Cartier (SOLE OWNER) |
| Authorized Official Contact | 2036759823 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Clinical Consultation & Mediation Llc Po Box 5074 Woodbridge CT 06525-0374 Ph: (203) 675-9823 | Clinical Consultation & Mediation Llc 2558 Whitney Ave Hamden CT 06518-3046 Ph: (203) 675-9823 |
| NPI Number | 1962964478 |
|---|---|
| Provider Enumeration Date | 04/03/2019 |
| Last Update Date | 04/03/2019 |
| Medicare PECOS PAC ID | 5294078812 |
|---|---|
| Medicare Enrollment ID | O20190523001001 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962964478 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Stacey A Cartier |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1386789675 PECOS PAC ID: 0244326601 Enrollment ID: I20071016000195 |
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