Soraya Sawicki | |
35 Tower Ln Suite 202 Avon CT 06001-4237 | |
(860) 404-2736 | |
(860) 470-3988 |
Full Name | Soraya Sawicki |
---|---|
Speciality | Social Worker |
Location | 35 Tower Ln, Avon, Connecticut |
Authorized Official Name and Position | Soraya Sawicki (OWNER) |
Authorized Official Contact | 8609861287 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Soraya Sawicki 35 Tower Ln Suite 202 Avon CT 06001-4237 Ph: (860) 404-2736 | Soraya Sawicki 35 Tower Ln Suite 202 Avon CT 06001-4237 Ph: (860) 404-2736 |
NPI Number | 1942759733 |
---|---|
Provider Enumeration Date | 09/22/2016 |
Last Update Date | 06/01/2021 |
Certification Date | 06/01/2021 |
Medicare PECOS PAC ID | 5698058220 |
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Medicare Enrollment ID | O20170206002347 |
Identifier | Type | State | Issuer |
---|---|---|---|
1942759733 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
104100000X | Social Worker | (* (Not Available)) | Secondary |
1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
Provider Name | Soraya Sawicki |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1710190590 PECOS PAC ID: 6608159231 Enrollment ID: I20170223000360 |
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