| Effective Community Services Tlc | |
|
419 Whalley Ave Fl 1 Suite 101 New Haven CT 06511 | |
| (203) 439-5555 | |
| (203) 738-1117 |
| Full Name | Effective Community Services Tlc |
|---|---|
| Speciality | Social Worker |
| Location | 419 Whalley Ave Fl 1, New Haven, Connecticut |
| Authorized Official Name and Position | Lisa Hardy-gardner (OWNER) |
| Authorized Official Contact | 2034395555 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Effective Community Services Tlc 73 Fernwood Rd Hamden CT 06517-2915 Ph: (203) 439-5555 | Effective Community Services Tlc 419 Whalley Ave Fl 1 Suite 101 New Haven CT 06511 Ph: (203) 439-5555 |
| NPI Number | 1306401377 |
|---|---|
| Provider Enumeration Date | 05/06/2019 |
| Last Update Date | 07/23/2024 |
| Certification Date | 07/23/2024 |
| Medicare PECOS PAC ID | 5799172045 |
|---|---|
| Medicare Enrollment ID | O20220505000424 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306401377 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Danyell Byrd |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1245900497 PECOS PAC ID: 6305233669 Enrollment ID: I20220505000543 |
| Provider Name | Fannie Hardy |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1699319640 PECOS PAC ID: 6709273063 Enrollment ID: I20220505000756 |
| Provider Name | Jennifer Denise Gilliard |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1053952564 PECOS PAC ID: 1951798222 Enrollment ID: I20220505000890 |
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