| Jennifer M. Lockshier Llc | |
|
2420 Main St Stratford CT 06615-5951 | |
| (203) 400-1302 | |
| Not Available |
| Full Name | Jennifer M. Lockshier Llc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 2420 Main St, Stratford, Connecticut |
| Authorized Official Name and Position | Jennifer M. Lockshier (LCSW) |
| Authorized Official Contact | 2034001302 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jennifer M. Lockshier Llc 2420 Main St Stratford CT 06615-5951 Ph: () - | Jennifer M. Lockshier Llc 2420 Main St Stratford CT 06615-5951 Ph: (203) 400-1302 |
| NPI Number | 1639508070 |
|---|---|
| Provider Enumeration Date | 11/06/2013 |
| Last Update Date | 11/06/2013 |
| Medicare PECOS PAC ID | 5294077509 |
|---|---|
| Medicare Enrollment ID | O20190506002326 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639508070 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 008128 (Connecticut) | Primary |
| Provider Name | Jennifer M Lockshier |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1164863460 PECOS PAC ID: 7618210345 Enrollment ID: I20190521003343 |
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