| Playworks Therapy For Children, Llc | |
|
152 Deming St South Windsor CT 06074-3740 | |
| (860) 830-1696 | |
| Not Available |
| Full Name | Playworks Therapy For Children, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 152 Deming St, South Windsor, Connecticut |
| Authorized Official Name and Position | Jacqueline C. Newhouse (OWNER) |
| Authorized Official Contact | 8608301696 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Playworks Therapy For Children, Llc 152 Deming St South Windsor CT 06074-3740 Ph: (860) 830-1696 | Playworks Therapy For Children, Llc 152 Deming St South Windsor CT 06074-3740 Ph: (860) 830-1696 |
| NPI Number | 1922472992 |
|---|---|
| Provider Enumeration Date | 11/13/2015 |
| Last Update Date | 11/13/2015 |
| Medicare PECOS PAC ID | 0446633663 |
|---|---|
| Medicare Enrollment ID | O20220819001396 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922472992 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 008836 (Connecticut) | Primary |
| Provider Name | Jacqueline C. Newhouse |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1548439359 PECOS PAC ID: 1355724576 Enrollment ID: I20220819001417 |
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