| Key Therapy Llc | |
|
731 Main St Ste 122 Monroe CT 06468-2872 | |
| (203) 261-7090 | |
| (888) 856-3413 |
| Full Name | Key Therapy Llc |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 731 Main St Ste 122, Monroe, Connecticut |
| Authorized Official Name and Position | Samantha Lee Birtwell (LMFT) |
| Authorized Official Contact | 2033006414 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Key Therapy Llc 13 Roosevelt Dr Newtown CT 06470-2035 Ph: (203) 300-6414 | Key Therapy Llc 731 Main St Ste 122 Monroe CT 06468-2872 Ph: (203) 261-7090 |
| NPI Number | 1114393493 |
|---|---|
| Provider Enumeration Date | 08/20/2015 |
| Last Update Date | 07/24/2020 |
| Certification Date | 07/24/2020 |
| Medicare PECOS PAC ID | 6204185010 |
|---|---|
| Medicare Enrollment ID | O20180827003149 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114393493 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | 001736 (Connecticut) | Primary |
| Provider Name | Nanci E Kaczegowicz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487657276 PECOS PAC ID: 0749273985 Enrollment ID: I20040405001253 |
| Provider Name | Kathleen Lcsw Treacy |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1851588669 PECOS PAC ID: 5294989778 Enrollment ID: I20130209000017 |
| Provider Name | Marissa Garfunkel |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1710384748 PECOS PAC ID: 2466778774 Enrollment ID: I20150304001431 |
| Provider Name | Julia Teitelbaum |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1346599750 PECOS PAC ID: 8224386255 Enrollment ID: I20180807002179 |
| Provider Name | Briana Marino |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1700240181 PECOS PAC ID: 5193078608 Enrollment ID: I20181031001323 |
| Provider Name | Melissa Edwards |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1588139497 PECOS PAC ID: 2062757594 Enrollment ID: I20190102002068 |
| Provider Name | Kelley Kendall |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1841646742 PECOS PAC ID: 0547694705 Enrollment ID: I20191220000893 |
| Provider Name | Dana Lyn Errichetti |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1649811266 PECOS PAC ID: 2466887146 Enrollment ID: I20200128000576 |
| Provider Name | Colleen Digioia |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1477157477 PECOS PAC ID: 2365847159 Enrollment ID: I20210817001218 |
| Provider Name | Linda Valera |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1104450519 PECOS PAC ID: 4385095942 Enrollment ID: I20240108004596 |
| Provider Name | Meghan Emanuelson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1861170318 PECOS PAC ID: 8527419134 Enrollment ID: I20240109000127 |
| Provider Name | Richard Michael Gorman |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1851863294 PECOS PAC ID: 4880045368 Enrollment ID: I20240109002862 |
| Provider Name | Emi Fukuda |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1851855910 PECOS PAC ID: 3476904830 Enrollment ID: I20240110001216 |
| Provider Name | Lisa C Hughes |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1619497328 PECOS PAC ID: 8820441611 Enrollment ID: I20240129001142 |
| Provider Name | Lauren J Fournier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427826692 PECOS PAC ID: 6103269584 Enrollment ID: I20240213003027 |
| Provider Name | Melissa Ann Caparitia |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1437713559 PECOS PAC ID: 3173969482 Enrollment ID: I20240308002732 |
| Provider Name | Joana Milla |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366291692 PECOS PAC ID: 6608318068 Enrollment ID: I20240613000378 |
| Provider Name | Rebecca Dawn |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1356010920 PECOS PAC ID: 6901342104 Enrollment ID: I20240724001976 |
| Provider Name | Sarah T Wilkie |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1740929942 PECOS PAC ID: 1658804109 Enrollment ID: I20241023001302 |
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