| Gillian Verrastro, Lcsw, Ladc, Llc | |
|
27 Glen Rd Ste 306 Sandy Hook CT 06482-1193 | |
| (203) 981-0597 | |
| Not Available |
| Full Name | Gillian Verrastro, Lcsw, Ladc, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 27 Glen Rd Ste 306, Sandy Hook, Connecticut |
| Authorized Official Name and Position | Gillian Verrastro (OWNER) |
| Authorized Official Contact | 2039810597 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Gillian Verrastro, Lcsw, Ladc, Llc 27 Glen Rd Ste 306 Sandy Hook CT 06482-1193 Ph: (203) 981-0597 | Gillian Verrastro, Lcsw, Ladc, Llc 27 Glen Rd Ste 306 Sandy Hook CT 06482-1193 Ph: (203) 981-0597 |
| NPI Number | 1154945533 |
|---|---|
| Provider Enumeration Date | 06/02/2020 |
| Last Update Date | 07/10/2023 |
| Certification Date | 07/10/2023 |
| Medicare PECOS PAC ID | 4688097884 |
|---|---|
| Medicare Enrollment ID | O20200707001178 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154945533 | NPI | - | NPPES |
| 004123840 | Medicaid | CT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Gillian Verrastro |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1013104744 PECOS PAC ID: 6406279603 Enrollment ID: I20200707001279 |
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