| Hope Clinical Services, Llc | |
|
435 Buckland Rd South Windsor CT 06074-3720 | |
| (860) 975-9484 | |
| Not Available |
| Full Name | Hope Clinical Services, Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 435 Buckland Rd, South Windsor, Connecticut |
| Authorized Official Name and Position | Janice L Shields (LICENSED CLINICAL SOCIAL WORKER) |
| Authorized Official Contact | 8609671175 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Hope Clinical Services, Llc 4 Wakefield Cir East Hartford CT 06118-1622 Ph: (860) 967-1175 | Hope Clinical Services, Llc 435 Buckland Rd South Windsor CT 06074-3720 Ph: (860) 975-9484 |
| NPI Number | 1316454705 |
|---|---|
| Provider Enumeration Date | 01/07/2018 |
| Last Update Date | 01/07/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316454705 | NPI | - | NPPES |
| 088069530 | Medicaid | CT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 009575 (Connecticut) | Primary |
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