| Sherry Michaud, Llc | |
|
15 Hennequin Rd Columbia CT 06237-1309 | |
| (860) 798-2776 | |
| Not Available |
| Full Name | Sherry Michaud, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 15 Hennequin Rd, Columbia, Connecticut |
| Authorized Official Name and Position | Sherry L. Michaud (OWNER) |
| Authorized Official Contact | 8607982776 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sherry Michaud, Llc 21 Skinner Hill Rd Andover CT 06232-1110 Ph: (860) 798-2776 | Sherry Michaud, Llc 15 Hennequin Rd Columbia CT 06237-1309 Ph: (860) 798-2776 |
| NPI Number | 1942863402 |
|---|---|
| Provider Enumeration Date | 04/19/2019 |
| Last Update Date | 04/19/2019 |
| Medicare PECOS PAC ID | 3577806645 |
|---|---|
| Medicare Enrollment ID | O20190514001292 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942863402 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Sherry L Michaud |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1700089547 PECOS PAC ID: 1153549373 Enrollment ID: I20140902000447 |
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