Connections For Recovery Llc | |
369 Main St Ste 13 Spencer MA 01562-1900 | |
(508) 952-0041 | |
(844) 622-8177 |
Full Name | Connections For Recovery Llc |
---|---|
Speciality | Social Worker |
Location | 369 Main St Ste 13, Spencer, Massachusetts |
Authorized Official Name and Position | Katie L Ricciardi (CO-OWNER) |
Authorized Official Contact | 7743643506 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Connections For Recovery Llc 369 Main St Ste 13 Spencer MA 01562-1900 Ph: (774) 364-3506 | Connections For Recovery Llc 369 Main St Ste 13 Spencer MA 01562-1900 Ph: (508) 952-0041 |
NPI Number | 1457916686 |
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Provider Enumeration Date | 05/02/2019 |
Last Update Date | 05/02/2019 |
Medicare PECOS PAC ID | 3870822646 |
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Medicare Enrollment ID | O20190904003175 |
Identifier | Type | State | Issuer |
---|---|---|---|
1457916686 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
Provider Name | Katie L Ricciardi |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1538485552 PECOS PAC ID: 6406197698 Enrollment ID: I20190417000591 |
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