| Semilla De Esperanza Clinical Services Llc | |
|
2911 Dixwell Ave Ste 300b Hamden CT 06518-3159 | |
| (475) 441-9533 | |
| Not Available |
| Full Name | Semilla De Esperanza Clinical Services Llc |
|---|---|
| Speciality | Social Worker |
| Location | 2911 Dixwell Ave Ste 300b, Hamden, Connecticut |
| Authorized Official Name and Position | Izamari Garcia (OWNER/CLINICIAN) |
| Authorized Official Contact | 4754419533 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Semilla De Esperanza Clinical Services Llc 2911 Dixwell Ave Ste 300b Hamden CT 06518-3159 Ph: (475) 441-9533 | Semilla De Esperanza Clinical Services Llc 2911 Dixwell Ave Ste 300b Hamden CT 06518-3159 Ph: (475) 441-9533 |
| NPI Number | 1376325803 |
|---|---|
| Provider Enumeration Date | 10/18/2023 |
| Last Update Date | 10/20/2023 |
| Certification Date | 10/20/2023 |
| Medicare PECOS PAC ID | 6204285968 |
|---|---|
| Medicare Enrollment ID | O20231207001158 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376325803 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Izamari Garcia |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1659757169 PECOS PAC ID: 9133355449 Enrollment ID: I20180228000672 |
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