| Mary Jones, Licensed Clinical Social Worker, Llc | |
|
210 Holabird Ave Ste 322 Winsted CT 06098-1747 | |
| (860) 489-7499 | |
| Not Available |
| Full Name | Mary Jones, Licensed Clinical Social Worker, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 210 Holabird Ave Ste 322, Winsted, Connecticut |
| Authorized Official Name and Position | Mary Jones (MEMBER) |
| Authorized Official Contact | 8604897499 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mary Jones, Licensed Clinical Social Worker, Llc 1229 Winsted Rd Unit 23 Torrington CT 06790-2946 Ph: () - | Mary Jones, Licensed Clinical Social Worker, Llc 210 Holabird Ave Ste 322 Winsted CT 06098-1747 Ph: (860) 489-7499 |
| NPI Number | 1083115117 |
|---|---|
| Provider Enumeration Date | 02/23/2018 |
| Last Update Date | 02/23/2018 |
| Medicare PECOS PAC ID | 9234488073 |
|---|---|
| Medicare Enrollment ID | O20180828000631 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083115117 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 004911 (Connecticut) | Primary |
| Provider Name | Mary E Jones |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1316061427 PECOS PAC ID: 1153478102 Enrollment ID: I20090409000287 |
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