| Dover Counseling Center Llc | |
|
190 Dover St Ste 3 New Haven CT 06513-4817 | |
| (203) 350-3800 | |
| (866) 371-8103 |
| Full Name | Dover Counseling Center Llc |
|---|---|
| Speciality | Social Worker |
| Location | 190 Dover St Ste 3, New Haven, Connecticut |
| Authorized Official Name and Position | Robert Nesbitt (LCSW, OWNER OF DOVER COUNSELING) |
| Authorized Official Contact | 9142170018 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dover Counseling Center Llc 190 Dover St Ste 3 New Haven CT 06513-4817 Ph: () - | Dover Counseling Center Llc 190 Dover St Ste 3 New Haven CT 06513-4817 Ph: (203) 350-3800 |
| NPI Number | 1447840350 |
|---|---|
| Provider Enumeration Date | 01/25/2021 |
| Last Update Date | 01/25/2021 |
| Certification Date | 01/25/2021 |
| Medicare PECOS PAC ID | 8022423326 |
|---|---|
| Medicare Enrollment ID | O20210218002594 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447840350 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Robert James Nesbitt |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1912225798 PECOS PAC ID: 2668703588 Enrollment ID: I20191008000858 |
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