| Linda S Mittenthal Lcsw Llc | |
|
1738 Ellington Rd South Windsor CT 06074-2773 | |
| (860) 614-0842 | |
| Not Available |
| Full Name | Linda S Mittenthal Lcsw Llc |
|---|---|
| Speciality | Social Worker |
| Location | 1738 Ellington Rd, South Windsor, Connecticut |
| Authorized Official Name and Position | Linda Susan Mittenthal (SOLE PROPRIETOR) |
| Authorized Official Contact | 8605176633 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Linda S Mittenthal Lcsw Llc 1738 Ellington Rd South Windsor CT 06074-2773 Ph: (860) 614-0842 | Linda S Mittenthal Lcsw Llc 1738 Ellington Rd South Windsor CT 06074-2773 Ph: (860) 614-0842 |
| NPI Number | 1528619038 |
|---|---|
| Provider Enumeration Date | 09/25/2019 |
| Last Update Date | 09/25/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528619038 | NPI | - | NPPES |
| 008034075 | Medicaid | CT | |
| 11590385 | Other | CT | CAQH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 104100000X | Social Worker | (* (Not Available)) | Primary |
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
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