| Family Counseling Of Cheshire | |
|
558 Maple Ave Ste 2 Cheshire CT 06410-2100 | |
| (203) 250-9654 | |
| Not Available |
| Full Name | Family Counseling Of Cheshire |
|---|---|
| Speciality | Social Worker |
| Location | 558 Maple Ave Ste 2, Cheshire, Connecticut |
| Authorized Official Name and Position | Gretchen Stark Went (PARTNER) |
| Authorized Official Contact | 2034641249 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Counseling Of Cheshire 558 Maple Ave Ste 2 Cheshire CT 06410-2100 Ph: (203) 250-9654 | Family Counseling Of Cheshire 558 Maple Ave Ste 2 Cheshire CT 06410-2100 Ph: (203) 250-9654 |
| NPI Number | 1700085750 |
|---|---|
| Provider Enumeration Date | 07/11/2007 |
| Last Update Date | 11/09/2023 |
| Certification Date | 11/09/2023 |
| Medicare PECOS PAC ID | 5799874608 |
|---|---|
| Medicare Enrollment ID | O20071129000695 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700085750 | NPI | - | NPPES |
| 004254207 | Medicaid | CT | |
| 004254992 | Medicaid | CT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Secondary |
| Provider Name | John Edward Went |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1851404370 PECOS PAC ID: 5395826473 Enrollment ID: I20110307000503 |
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