| Self Reflections Llc | |
|
600 W Wolcott Ave Windsor CT 06095-4351 | |
| (860) 794-0652 | |
| Not Available |
| Full Name | Self Reflections Llc |
|---|---|
| Speciality | Social Worker |
| Location | 600 W Wolcott Ave, Windsor, Connecticut |
| Authorized Official Name and Position | Valerie Barrett-noel (CEO/ CLINICIAN) |
| Authorized Official Contact | 8607940652 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Self Reflections Llc 600 W Wolcott Ave Windsor CT 06095-4351 Ph: (860) 794-0652 | Self Reflections Llc 600 W Wolcott Ave Windsor CT 06095-4351 Ph: (860) 794-0652 |
| NPI Number | 1225758626 |
|---|---|
| Provider Enumeration Date | 08/29/2022 |
| Last Update Date | 01/10/2023 |
| Certification Date | 01/10/2023 |
| Medicare PECOS PAC ID | 2860862729 |
|---|---|
| Medicare Enrollment ID | O20230110003030 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225758626 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Valerie Barrett-noel |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1073106530 PECOS PAC ID: 3779953633 Enrollment ID: I20230110003078 |
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