| |
71 Oxford Rd Unit L Oxford CT 06478-1900 | |
(475) 557-1927 | |
Not Available |
Full Name | |
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Speciality | Social Worker |
Location | 71 Oxford Rd Unit L, Oxford, Connecticut |
Authorized Official Name and Position | Meghan Slekis (MANAGING MEMBER) |
Authorized Official Contact | 4755571927 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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71 Oxford Rd Unit L Oxford CT 06478-1900 Ph: (475) 557-1927 | 71 Oxford Rd Unit L Oxford CT 06478-1900 Ph: (475) 557-1927 |
NPI Number | 1164249926 |
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Provider Enumeration Date | 09/23/2024 |
Last Update Date | 10/14/2024 |
Certification Date | 10/14/2024 |
Medicare PECOS PAC ID | 0648703504 |
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Medicare Enrollment ID | O20241030002504 |
Identifier | Type | State | Issuer |
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1164249926 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
Provider Name | Meghan Slekis |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1528898145 PECOS PAC ID: 5193258051 Enrollment ID: I20241030002590 |
Provider Name | Sarah Kathryn Sedlak |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1871130344 PECOS PAC ID: 4880127745 Enrollment ID: I20241030002660 |
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