| Ct Socialwork Llc | |
|
64 Greystone Road Ext Plymouth CT 06782-2900 | |
| (203) 660-7459 | |
| (860) 760-6122 |
| Full Name | Ct Socialwork Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 64 Greystone Road Ext, Plymouth, Connecticut |
| Authorized Official Name and Position | Natalena Block (DIRECTOR) |
| Authorized Official Contact | 2036607459 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ct Socialwork Llc 70 Greystone Road Ext Plymouth CT 06782-2900 Ph: (203) 660-7459 | Ct Socialwork Llc 64 Greystone Road Ext Plymouth CT 06782-2900 Ph: (203) 660-7459 |
| NPI Number | 1811357965 |
|---|---|
| Provider Enumeration Date | 03/02/2016 |
| Last Update Date | 01/09/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811357965 | NPI | - | NPPES |
| 008037013 | Medicaid | CT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Secondary |
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