| Greenwoods Counseling Referrals, Inc. | |
|
25 South St Litchfield CT 06759-4005 | |
| (860) 567-7724 | |
| (860) 567-0300 |
| Full Name | Greenwoods Counseling Referrals, Inc. |
|---|---|
| Speciality | Social Worker |
| Location | 25 South St, Litchfield, Connecticut |
| Authorized Official Name and Position | Donna R Campbell (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 8605677724 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Greenwoods Counseling Referrals, Inc. Po Box 1549 21 South Street Litchfield CT 06759-1549 Ph: (860) 567-7724 | Greenwoods Counseling Referrals, Inc. 25 South St Litchfield CT 06759-4005 Ph: (860) 567-7724 |
| NPI Number | 1063846277 |
|---|---|
| Provider Enumeration Date | 08/23/2013 |
| Last Update Date | 03/02/2015 |
| Medicare PECOS PAC ID | 1052630308 |
|---|---|
| Medicare Enrollment ID | O20150507001929 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063846277 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 000840 (Connecticut) | Secondary |
| 1041C0700X | Social Worker - Clinical | 000840 (Connecticut) | Primary |
| Provider Name | Terry O Harran-rodriguez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1134301153 PECOS PAC ID: 2264473263 Enrollment ID: I20050519001007 |
| Provider Name | Nirmal B Kathuria |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1962545319 PECOS PAC ID: 0143409334 Enrollment ID: I20110120000003 |
| Provider Name | Erin O'neil |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1568973899 PECOS PAC ID: 5991031684 Enrollment ID: I20190802001004 |
| Provider Name | Jamie Lyn Campanella |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1235596040 PECOS PAC ID: 8426334822 Enrollment ID: I20220511000736 |
| Provider Name | Joy Wyatt |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1497465462 PECOS PAC ID: 0345611364 Enrollment ID: I20230130000544 |
| Provider Name | Garrit Cerruto |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932844453 PECOS PAC ID: 2264899442 Enrollment ID: I20230721001623 |
| Provider Name | David Masotta |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1215602313 PECOS PAC ID: 3173964624 Enrollment ID: I20240515000258 |
| Provider Name | Cynthia Vail |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1447641121 PECOS PAC ID: 2365883675 Enrollment ID: I20240516002770 |
| Provider Name | Megan Garceau |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1124675970 PECOS PAC ID: 7517308836 Enrollment ID: I20240516002932 |
| Provider Name | Evan Hunter |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1366051468 PECOS PAC ID: 5698116911 Enrollment ID: I20240516003048 |
| Provider Name | Brigid Cleary |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1386351286 PECOS PAC ID: 4688016827 Enrollment ID: I20240520003697 |
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