| Ellie Mental Health | |
|
61 S Main St Ste 214 West Hartford CT 06107-2486 | |
| (407) 885-3570 | |
| (860) 215-3016 |
| Full Name | Ellie Mental Health |
|---|---|
| Speciality | Social Worker |
| Location | 61 S Main St Ste 214, West Hartford, Connecticut |
| Authorized Official Name and Position | David Lawrence-hawley (CLINIC DIRECTOR) |
| Authorized Official Contact | 4078853570 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ellie Mental Health 61 S Main St Ste 214 West Hartford CT 06107-2486 Ph: (407) 885-3570 | Ellie Mental Health 61 S Main St Ste 214 West Hartford CT 06107-2486 Ph: (407) 885-3570 |
| NPI Number | 1346958683 |
|---|---|
| Provider Enumeration Date | 11/07/2022 |
| Last Update Date | 03/22/2024 |
| Certification Date | 03/22/2024 |
| Medicare PECOS PAC ID | 4183097736 |
|---|---|
| Medicare Enrollment ID | O20230301000752 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346958683 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Diana M Cimadon |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1457620825 PECOS PAC ID: 5799064309 Enrollment ID: I20161122000301 |
| Provider Name | Lindsey Golden |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1447973235 PECOS PAC ID: 2264802685 Enrollment ID: I20221229002274 |
| Provider Name | Alyssa Desroches |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1801171285 PECOS PAC ID: 8123429933 Enrollment ID: I20230301000943 |
| Provider Name | Bria Stavnezer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1154965689 PECOS PAC ID: 1658744214 Enrollment ID: I20230301001084 |
| Provider Name | Jodi Gray |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1235754169 PECOS PAC ID: 4385018936 Enrollment ID: I20230321002919 |
| Provider Name | Jenny Mathew |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1902587967 PECOS PAC ID: 1153784111 Enrollment ID: I20230824001210 |
| Provider Name | Lucas Larcheveque |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1083371363 PECOS PAC ID: 1052763653 Enrollment ID: I20240119000478 |
| Provider Name | Angela Ferrigno |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1770013088 PECOS PAC ID: 5294188165 Enrollment ID: I20240126001855 |
| Provider Name | Vanessa Mcclintock |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1407502586 PECOS PAC ID: 1850748898 Enrollment ID: I20240206002791 |
| Provider Name | Maribel Claudio |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1265074421 PECOS PAC ID: 1153764139 Enrollment ID: I20240206004622 |
| Provider Name | Brian Kenneth Brennan |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1912441023 PECOS PAC ID: 2062860554 Enrollment ID: I20240208000157 |
| Provider Name | David Lawrence-hawley |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1013215201 PECOS PAC ID: 9032556014 Enrollment ID: I20240326002909 |
Phoenix Healing, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 45 S Main St Ste 107, West Hartford, CT 06107 Phone: 860-352-0813 | |
Geoff Genser, Lcsw, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 15 N Main St, 3rd Floor, West Hartford, CT 06107 Phone: 860-570-0877 Fax: 860-264-4737 | |
The Bridge Family Center Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1022 Farmington Ave, West Hartford, CT 06107 Phone: 860-561-9635 | |
Hollie Barkoff Lcsw, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 45 S Main St, Suite 107, West Hartford, CT 06107 Phone: 860-463-4243 | |
Sayuri Integrative Services, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 74 Park Rd, West Hartford, CT 06119 Phone: 860-593-7243 | |
Ruth L. Jacobson, Ms, Lmft, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 10 N Main St Ste 315, West Hartford, CT 06107 Phone: 860-604-3101 Fax: 860-658-6002 | |
Karen Scheel Holley Psyd Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 45 S Main St Ste 70, West Hartford, CT 06107 Phone: 860-785-4232 |