| Sharon Eastman Lcsw Llc | |
|
15r Hartford Ave Ste Cd Granby CT 06035-2342 | |
| (860) 895-3059 | |
| Not Available |
| Full Name | Sharon Eastman Lcsw Llc |
|---|---|
| Speciality | Social Worker |
| Location | 15r Hartford Ave Ste Cd, Granby, Connecticut |
| Authorized Official Name and Position | Sharon L Eastman (OWNER) |
| Authorized Official Contact | 8608953059 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sharon Eastman Lcsw Llc Po Box 554 Granby CT 06035-0554 Ph: (860) 324-8124 | Sharon Eastman Lcsw Llc 15r Hartford Ave Ste Cd Granby CT 06035-2342 Ph: (860) 895-3059 |
| NPI Number | 1386312676 |
|---|---|
| Provider Enumeration Date | 09/01/2021 |
| Last Update Date | 11/06/2024 |
| Certification Date | 11/06/2024 |
| Medicare PECOS PAC ID | 8022498849 |
|---|---|
| Medicare Enrollment ID | O20220711000413 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386312676 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Sharon Eastman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1407266927 PECOS PAC ID: 9931323631 Enrollment ID: I20140620000003 |
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