Paulette Gleit Lcsw Llc | |
45 S Main St Ste 306 West Hartford CT 06107-2402 | |
(860) 830-4316 | |
Not Available |
Full Name | Paulette Gleit Lcsw Llc |
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Speciality | Social Worker |
Location | 45 S Main St Ste 306, West Hartford, Connecticut |
Authorized Official Name and Position | Paulette Greer Gleit (OWNER) |
Authorized Official Contact | 8608304316 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Paulette Gleit Lcsw Llc Po Box 775 Avon CT 06001-0775 Ph: (860) 830-4316 | Paulette Gleit Lcsw Llc 45 S Main St Ste 306 West Hartford CT 06107-2402 Ph: (860) 830-4316 |
NPI Number | 1982008082 |
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Provider Enumeration Date | 10/17/2014 |
Last Update Date | 10/01/2022 |
Certification Date | 10/01/2022 |
Medicare PECOS PAC ID | 7618294497 |
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Medicare Enrollment ID | O20150317000729 |
Identifier | Type | State | Issuer |
---|---|---|---|
1982008082 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 007863 (Connecticut) | Primary |
Provider Name | Paulette G Gleit |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1952590184 PECOS PAC ID: 7416030903 Enrollment ID: I20120406000059 |
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