| Mark Peluso Lcsw Llc | |
|
1177 Silas Deane Hwy Wethersfield CT 06109-4348 | |
| (860) 704-9313 | |
| Not Available |
| Full Name | Mark Peluso Lcsw Llc |
|---|---|
| Speciality | Social Worker |
| Location | 1177 Silas Deane Hwy, Wethersfield, Connecticut |
| Authorized Official Name and Position | Mark Peluso (LICENSED CLINICAL SOCIAL WORKER) |
| Authorized Official Contact | 8607049313 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mark Peluso Lcsw Llc 1177 Silas Deane Hwy Wethersfield CT 06109-4348 Ph: (860) 704-9313 | Mark Peluso Lcsw Llc 1177 Silas Deane Hwy Wethersfield CT 06109-4348 Ph: (860) 704-9313 |
| NPI Number | 1801130851 |
|---|---|
| Provider Enumeration Date | 11/15/2012 |
| Last Update Date | 11/15/2012 |
| Medicare PECOS PAC ID | 6709038250 |
|---|---|
| Medicare Enrollment ID | O20121206000515 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801130851 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 007552 (Connecticut) | Primary |
| Provider Name | Mark Peluso |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1316243702 PECOS PAC ID: 5890947345 Enrollment ID: I20121206000510 |
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