| Family & Children's Agency, Inc. | |
|
9 Mott Ave 4th Floor Norwalk CT 06850-3330 | |
| (203) 855-8765 | |
| (203) 838-3325 |
| Full Name | Family & Children's Agency, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 9 Mott Ave, Norwalk, Connecticut |
| Authorized Official Name and Position | Robert F Cashel (PRESIDENT & CEO) |
| Authorized Official Contact | 2038558765 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Family & Children's Agency, Inc. 9 Mott Ave 4th Floor Norwalk CT 06850-3330 Ph: (203) 855-8765 | Family & Children's Agency, Inc. 9 Mott Ave 4th Floor Norwalk CT 06850-3330 Ph: (203) 855-8765 |
| NPI Number | 1417170879 |
|---|---|
| Provider Enumeration Date | 04/11/2007 |
| Last Update Date | 03/11/2008 |
| Medicare PECOS PAC ID | 4688658594 |
|---|---|
| Medicare Enrollment ID | O20040617000678 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417170879 | NPI | - | NPPES |
| CTGA000498 | Other | CT | DMHAS PROVIDER NUMBER |
| ANC1195 | Other | CT | OXFORD PROVIDER NUMBER |
| 291961 | Other | CT | MHN PROVIDER NUMBER |
| Provider Name | Jennifer C Mcbride |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1174649974 PECOS PAC ID: 7517242118 Enrollment ID: I20170322001611 |
| Provider Name | Jessica L Vivenzio |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1447882006 PECOS PAC ID: 6204240005 Enrollment ID: I20210205000256 |
| Provider Name | Jessica Marie Nieves |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1801530670 PECOS PAC ID: 2365811460 Enrollment ID: I20221213000406 |
| Provider Name | Bernadette M Burke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356012496 PECOS PAC ID: 1557732047 Enrollment ID: I20230119002690 |
| Provider Name | Patricia C Nietsch |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1528316221 PECOS PAC ID: 5294107942 Enrollment ID: I20230207001930 |
| Provider Name | Valerie K Davis |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1649354002 PECOS PAC ID: 3274962535 Enrollment ID: I20240507001889 |
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