Nutmeg Counseling Services, Llc | |
41 Middletown Ave 2nd Floor North Haven CT 06473-3926 | |
(475) 238-8229 | |
Not Available |
Full Name | Nutmeg Counseling Services, Llc |
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Speciality | Social Worker |
Location | 41 Middletown Ave, North Haven, Connecticut |
Authorized Official Name and Position | Irene B Bosco (MANAGING MEMBER) |
Authorized Official Contact | 4752388229 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Nutmeg Counseling Services, Llc 41 Middletown Ave 2nd Floor North Haven CT 06473-3926 Ph: () - | Nutmeg Counseling Services, Llc 41 Middletown Ave 2nd Floor North Haven CT 06473-3926 Ph: (475) 238-8229 |
NPI Number | 1215472527 |
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Provider Enumeration Date | 12/21/2016 |
Last Update Date | 01/26/2017 |
Medicare PECOS PAC ID | 2668744731 |
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Medicare Enrollment ID | O20170824000736 |
Identifier | Type | State | Issuer |
---|---|---|---|
1215472527 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101Y00000X | Counselor | 002047 (Connecticut) | Secondary |
1041C0700X | Social Worker - Clinical | 006991 (Connecticut) | Primary |
Provider Name | Irene B Bosco |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1942537279 PECOS PAC ID: 3173664380 Enrollment ID: I20100111000416 |
Provider Name | Julius L Stone |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1508006164 PECOS PAC ID: 4688848252 Enrollment ID: I20111116000398 |
Provider Name | Amy B Mester |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1841420312 PECOS PAC ID: 8820404700 Enrollment ID: I20210302001145 |
Provider Name | Caitlin Mcginnis |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1134870124 PECOS PAC ID: 2163814468 Enrollment ID: I20220119000187 |
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