| Mcintyre Counseling, Llc | |
|
4 Katherine Rd Enfield CT 06082-2514 | |
| (860) 253-0069 | |
| (860) 253-0079 |
| Full Name | Mcintyre Counseling, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 4 Katherine Rd, Enfield, Connecticut |
| Authorized Official Name and Position | Denise Bradfield (OWNER) |
| Authorized Official Contact | 8602530069 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mcintyre Counseling, Llc 4 Katherine Rd Enfield CT 06082-2514 Ph: (860) 253-0069 | Mcintyre Counseling, Llc 4 Katherine Rd Enfield CT 06082-2514 Ph: (860) 253-0069 |
| NPI Number | 1629085394 |
|---|---|
| Provider Enumeration Date | 08/02/2006 |
| Last Update Date | 02/13/2023 |
| Certification Date | 08/15/2022 |
| Medicare PECOS PAC ID | 2769436922 |
|---|---|
| Medicare Enrollment ID | O20050310000222 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629085394 | NPI | - | NPPES |
| 004249092 | Medicaid | CT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 005433 (Connecticut) | Primary |
| Provider Name | Denise Mcintyre |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1710179098 PECOS PAC ID: 2365496536 Enrollment ID: I20050314000398 |
| Provider Name | Rebecca Suzzanne Gaffron |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1548339336 PECOS PAC ID: 2365452166 Enrollment ID: I20060424000486 |
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