| Jessica A. Haeseler, Lcsw Llc | |
|
210 Westcott Rd Danielson CT 06239-2205 | |
| (860) 884-8237 | |
| Not Available |
| Full Name | Jessica A. Haeseler, Lcsw Llc |
|---|---|
| Speciality | Social Worker |
| Location | 210 Westcott Rd, Danielson, Connecticut |
| Authorized Official Name and Position | Jessica A Haeseler (OWNER) |
| Authorized Official Contact | 8608848237 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jessica A. Haeseler, Lcsw Llc 210 Westcott Rd Danielson CT 06239-2205 Ph: (860) 884-8237 | Jessica A. Haeseler, Lcsw Llc 210 Westcott Rd Danielson CT 06239-2205 Ph: (860) 884-8237 |
| NPI Number | 1609572957 |
|---|---|
| Provider Enumeration Date | 02/07/2023 |
| Last Update Date | 02/17/2023 |
| Certification Date | 02/17/2023 |
| Medicare PECOS PAC ID | 2567835994 |
|---|---|
| Medicare Enrollment ID | O20230306000129 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609572957 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Jessica Haeseler |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1336506062 PECOS PAC ID: 2163810136 Enrollment ID: I20211025000086 |
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