| Private Practice Of Adrian Rodriguez Targa Lcsw | |
|
57 Plains Rd Ste 33 Milford CT 06461-2529 | |
| (203) 654-6699 | |
| Not Available |
| Full Name | Private Practice Of Adrian Rodriguez Targa Lcsw |
|---|---|
| Speciality | Social Worker |
| Location | 57 Plains Rd Ste 33, Milford, Connecticut |
| Authorized Official Name and Position | Adrian Rodriguez Targa (PROVIDER) |
| Authorized Official Contact | 2036546699 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Private Practice Of Adrian Rodriguez Targa Lcsw 57 Plains Rd Ste 33 Milford CT 06461-2529 Ph: (203) 654-6699 | Private Practice Of Adrian Rodriguez Targa Lcsw 57 Plains Rd Ste 33 Milford CT 06461-2529 Ph: (203) 654-6699 |
| NPI Number | 1417698069 |
|---|---|
| Provider Enumeration Date | 04/06/2022 |
| Last Update Date | 03/29/2024 |
| Certification Date | 03/29/2024 |
| Medicare PECOS PAC ID | 1658718770 |
|---|---|
| Medicare Enrollment ID | O20240326000593 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417698069 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Adrian Miguel Rodriguez-targa |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1477076677 PECOS PAC ID: 8729310743 Enrollment ID: I20191024000997 |
| Provider Name | Cassandra Rivera |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1518566652 PECOS PAC ID: 8820438005 Enrollment ID: I20240506000431 |
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