| Marcia E. Brubeck, Llc | |
|
674 Prospect Ave 3rr Hartford CT 06105-4288 | |
| (860) 231-1997 | |
| Not Available |
| Full Name | Marcia E. Brubeck, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 674 Prospect Ave, Hartford, Connecticut |
| Authorized Official Name and Position | Marcia E Brubeck (MEMBER) |
| Authorized Official Contact | 8605868530 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Marcia E. Brubeck, Llc 114 Somerset St West Hartford CT 06110-1861 Ph: (860) 586-8530 | Marcia E. Brubeck, Llc 674 Prospect Ave 3rr Hartford CT 06105-4288 Ph: (860) 231-1997 |
| NPI Number | 1497727887 |
|---|---|
| Provider Enumeration Date | 02/02/2006 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 6901088038 |
|---|---|
| Medicare Enrollment ID | O20110311000006 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497727887 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 004424 (Connecticut) | Primary |
| Provider Name | Marcia E Brubeck |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1962414052 PECOS PAC ID: 8325034663 Enrollment ID: I20040422000816 |
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