| Jennifer Chokas, Lcsw, Llc | |
|
19 South Walnut St. Wauregan CT 06387-0530 | |
| (860) 960-0010 | |
| (860) 960-0020 |
| Full Name | Jennifer Chokas, Lcsw, Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 19 South Walnut St., Wauregan, Connecticut |
| Authorized Official Name and Position | Jennifer Ann Chokas (LICENSED CLINICAL SW/BUSINESS OWNER) |
| Authorized Official Contact | 8607711166 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jennifer Chokas, Lcsw, Llc 19 South Walnut St. Po Box 530 Wauregan CT 06387-0530 Ph: (860) 960-0010 | Jennifer Chokas, Lcsw, Llc 19 South Walnut St. Wauregan CT 06387-0530 Ph: (860) 960-0010 |
| NPI Number | 1144754052 |
|---|---|
| Provider Enumeration Date | 04/18/2017 |
| Last Update Date | 05/21/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144754052 | NPI | - | NPPES |
| 008031277 | Medicaid | CT | |
| 1790081776 | Other | CT | INDIVIDUAL NPI |
| $$$$$$$$$ | Other | CT | SSN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (Connecticut) | Primary |
Wellness At The Farm, Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 19 S Walnut St, Suite D, Wauregan, CT 06387 Phone: 860-771-9989 |