Marcy S Puklin Lcsw Llc | |
21 Pequot Dr Norwalk CT 06855-1608 | |
(203) 858-5560 | |
Not Available |
Full Name | Marcy S Puklin Lcsw Llc |
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Speciality | Social Worker |
Location | 21 Pequot Dr, Norwalk, Connecticut |
Authorized Official Name and Position | Marcy S Puklin (LICENSED CLINICAL SOCIAL WORKER) |
Authorized Official Contact | 2038585560 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Marcy S Puklin Lcsw Llc 21 Pequot Dr Norwalk CT 06855-1608 Ph: (203) 858-5560 | Marcy S Puklin Lcsw Llc 21 Pequot Dr Norwalk CT 06855-1608 Ph: (203) 858-5560 |
NPI Number | 1043954530 |
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Provider Enumeration Date | 04/21/2022 |
Last Update Date | 04/21/2022 |
Certification Date | 04/21/2022 |
Medicare PECOS PAC ID | 0749659688 |
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Medicare Enrollment ID | O20221215000803 |
Identifier | Type | State | Issuer |
---|---|---|---|
1043954530 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
Provider Name | Marcy S Puklin |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1568677037 PECOS PAC ID: 7416211495 Enrollment ID: I20180426002413 |
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