| Sarah E Starbird Llc | |
|
1078 W Main St Waterbury CT 06708-2651 | |
| (203) 445-6445 | |
| Not Available |
| Full Name | Sarah E Starbird Llc |
|---|---|
| Speciality | Social Worker |
| Location | 1078 W Main St, Waterbury, Connecticut |
| Authorized Official Name and Position | Sarah Elizabeth Starbird (OWNER) |
| Authorized Official Contact | 2034456445 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sarah E Starbird Llc 34 Lynwood Dr Wolcott CT 06716-2808 Ph: (203) 445-6445 | Sarah E Starbird Llc 1078 W Main St Waterbury CT 06708-2651 Ph: (203) 445-6445 |
| NPI Number | 1740663780 |
|---|---|
| Provider Enumeration Date | 07/08/2015 |
| Last Update Date | 07/08/2015 |
| Medicare PECOS PAC ID | 9335401934 |
|---|---|
| Medicare Enrollment ID | O20180320000106 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740663780 | NPI | - | NPPES |
| 004039368 | Medicaid | CT | |
| 11750785 | Other | CAQH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 006383 (Connecticut) | Primary |
| Provider Name | Sarah E Starbird |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1215151691 PECOS PAC ID: 2668571621 Enrollment ID: I20070616000030 |
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