| Elizabeth Tobin Brown, Lcsw, Llc | |
|
107 Wilcox Rd Ste 108 Stonington CT 06378-2614 | |
| (860) 536-1333 | |
| (860) 535-0875 |
| Full Name | Elizabeth Tobin Brown, Lcsw, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 107 Wilcox Rd Ste 108, Stonington, Connecticut |
| Authorized Official Name and Position | Elizabeth Tobin Brown (OWNER) |
| Authorized Official Contact | 8605361333 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Elizabeth Tobin Brown, Lcsw, Llc 107 Wilcox Rd Ste 108 Stonington CT 06378-2614 Ph: (860) 536-1333 | Elizabeth Tobin Brown, Lcsw, Llc 107 Wilcox Rd Ste 108 Stonington CT 06378-2614 Ph: (860) 536-1333 |
| NPI Number | 1912239344 |
|---|---|
| Provider Enumeration Date | 02/10/2010 |
| Last Update Date | 05/20/2019 |
| Medicare PECOS PAC ID | 6709912595 |
|---|---|
| Medicare Enrollment ID | O20100331000690 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912239344 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 006255 (Connecticut) | Primary |
| Provider Name | Elizabeth T Brown |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1831267442 PECOS PAC ID: 0143390963 Enrollment ID: I20080605000711 |
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