| North Star Behavioral Health Services, Llc | |
|
36 Jardon St Torrington CT 06790-3204 | |
| (914) 552-2868 | |
| Not Available |
| Full Name | North Star Behavioral Health Services, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 36 Jardon St, Torrington, Connecticut |
| Authorized Official Name and Position | Paulette Spagnolo (LCSW) |
| Authorized Official Contact | 9145522868 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| North Star Behavioral Health Services, Llc 36 Jardon St Torrington CT 06790-3204 Ph: (914) 552-2868 | North Star Behavioral Health Services, Llc 36 Jardon St Torrington CT 06790-3204 Ph: (914) 552-2868 |
| NPI Number | 1871141556 |
|---|---|
| Provider Enumeration Date | 08/27/2019 |
| Last Update Date | 08/27/2019 |
| Medicare PECOS PAC ID | 4880028604 |
|---|---|
| Medicare Enrollment ID | O20200102000697 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871141556 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Paulette A Spagnolo |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1578913364 PECOS PAC ID: 4183910805 Enrollment ID: I20160907000754 |
| Provider Name | Anna Elizabeth O'donnell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1891330478 PECOS PAC ID: 4587099098 Enrollment ID: I20200110000434 |
| Provider Name | Jaclyn M Vitkovsky |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508472259 PECOS PAC ID: 9931512399 Enrollment ID: I20210105000609 |
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