| Steven G Simon Lcsw Llc | |
|
2348 Whitney Ave Suite 2 Hamden CT 06518-3512 | |
| (203) 287-2488 | |
| (203) 287-9133 |
| Full Name | Steven G Simon Lcsw Llc |
|---|---|
| Speciality | Social Worker |
| Location | 2348 Whitney Ave, Hamden, Connecticut |
| Authorized Official Name and Position | Steven Gary Simon (OWNER) |
| Authorized Official Contact | 2032872488 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Steven G Simon Lcsw Llc 2348 Whitney Ave Suite 2 Hamden CT 06518-3512 Ph: (203) 287-2488 | Steven G Simon Lcsw Llc 2348 Whitney Ave Suite 2 Hamden CT 06518-3512 Ph: (203) 287-2488 |
| NPI Number | 1679895072 |
|---|---|
| Provider Enumeration Date | 02/25/2010 |
| Last Update Date | 05/11/2010 |
| Medicare PECOS PAC ID | 8628106838 |
|---|---|
| Medicare Enrollment ID | O20100510000311 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679895072 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 005897 (Connecticut) | Primary |
| Provider Name | Steven G Simon |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1386656254 PECOS PAC ID: 5496786535 Enrollment ID: I20050829000207 |
| Provider Name | Melanie Burton |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1306063896 PECOS PAC ID: 6800196486 Enrollment ID: I20161215001306 |
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