| Western Connecticut Mental Health Network | |
|
55 West Main Street Suite 410 Rowland State Government Center Waterbury CT 06702 | |
| (203) 805-6403 | |
| (203) 805-6432 |
| Full Name | Western Connecticut Mental Health Network |
|---|---|
| Speciality | Clinic/Center |
| Location | 55 West Main Street, Waterbury, Connecticut |
| Authorized Official Name and Position | Cheryl Arora (CHIEF FINANCIAL OFFICER) |
| Authorized Official Contact | 8604186937 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Western Connecticut Mental Health Network 55 West Main Street Suite 410 Rowland State Government Center Waterbury CT 06702 Ph: (203) 805-6403 | Western Connecticut Mental Health Network 55 West Main Street Suite 410 Rowland State Government Center Waterbury CT 06702 Ph: (203) 805-6403 |
| NPI Number | 1841225489 |
|---|---|
| Provider Enumeration Date | 07/12/2006 |
| Last Update Date | 10/05/2022 |
| Certification Date | 10/05/2022 |
| Medicare PECOS PAC ID | 8022915677 |
|---|---|
| Medicare Enrollment ID | O20040319000427 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841225489 | NPI | - | NPPES |
| 004120333 | Medicaid | CT | |
| 004217106 | Medicaid | CT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
| Provider Name | John M De Figueiredo |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1942271739 PECOS PAC ID: 8123915758 Enrollment ID: I20040301000040 |
| Provider Name | Joan S Selvage |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1225171697 PECOS PAC ID: 4789574690 Enrollment ID: I20040325001164 |
| Provider Name | Tammy L Andrews |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1003860107 PECOS PAC ID: 3072501048 Enrollment ID: I20040506000484 |
| Provider Name | Cheryl A Ellis |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1265548895 PECOS PAC ID: 6608846910 Enrollment ID: I20040726001180 |
| Provider Name | Bridget M Mccue |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1588743462 PECOS PAC ID: 9032174156 Enrollment ID: I20041130000717 |
| Provider Name | Cynthia L Krozser |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1558434530 PECOS PAC ID: 1456318534 Enrollment ID: I20041210000587 |
| Provider Name | Jennifer Giordano |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1003995986 PECOS PAC ID: 8325006570 Enrollment ID: I20041221000086 |
| Provider Name | Halevoor B Mahalingaiah |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1598830804 PECOS PAC ID: 1759289598 Enrollment ID: I20050406001274 |
| Provider Name | Terry O Harran-rodriguez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1134301153 PECOS PAC ID: 2264473263 Enrollment ID: I20050519001007 |
| Provider Name | Rita M Brzozowski |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1649336231 PECOS PAC ID: 1254374655 Enrollment ID: I20050607000501 |
| Provider Name | Jeffrey G Luddy |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1881676336 PECOS PAC ID: 0749216745 Enrollment ID: I20050712000093 |
| Provider Name | Amy L Cyr |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1427043587 PECOS PAC ID: 3971529660 Enrollment ID: I20051021000464 |
| Provider Name | Michael A Padilla |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1205994555 PECOS PAC ID: 9335141134 Enrollment ID: I20070207000564 |
| Provider Name | Nancy H Wang D'amato |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609940741 PECOS PAC ID: 1951403567 Enrollment ID: I20070228000704 |
| Provider Name | Steven M Baltrush |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1316002082 PECOS PAC ID: 8527161215 Enrollment ID: I20070319000274 |
| Provider Name | Robert M Stubbs |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1295871291 PECOS PAC ID: 4880790674 Enrollment ID: I20070511000279 |
| Provider Name | Christeli E Brunner |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1972624211 PECOS PAC ID: 5496856700 Enrollment ID: I20070730000803 |
| Provider Name | Clifford P Knight |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1124246707 PECOS PAC ID: 0244322972 Enrollment ID: I20070824000707 |
| Provider Name | Justin S Egan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1376689331 PECOS PAC ID: 0840382578 Enrollment ID: I20070824000749 |
| Provider Name | Margaret E Kaklamanos |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1801973409 PECOS PAC ID: 2668567058 Enrollment ID: I20071001000124 |
| Provider Name | Jeffrey Nachbar |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1619182953 PECOS PAC ID: 1355437468 Enrollment ID: I20071022000249 |
| Provider Name | Mari C Sperling |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1306036025 PECOS PAC ID: 4880781830 Enrollment ID: I20071107000620 |
| Provider Name | Stephen C Brown |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1720268048 PECOS PAC ID: 6901996776 Enrollment ID: I20071217000447 |
| Provider Name | Courtney M Malcolm |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1093909525 PECOS PAC ID: 8527138817 Enrollment ID: I20080529000187 |
| Provider Name | Ivelissa Soto |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1023139599 PECOS PAC ID: 3274603931 Enrollment ID: I20080606000334 |
| Provider Name | Carissa C Eddy |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1174794499 PECOS PAC ID: 5092885756 Enrollment ID: I20080606000338 |
| Provider Name | Barbara Debarber |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1770759938 PECOS PAC ID: 0648343962 Enrollment ID: I20080721000247 |
| Provider Name | Albert R Cagganello |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1801052238 PECOS PAC ID: 2264591403 Enrollment ID: I20081105000424 |
| Provider Name | Peter G Gasparo |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1114188869 PECOS PAC ID: 5294890430 Enrollment ID: I20090223000132 |
| Provider Name | Marc Trivella |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1700965688 PECOS PAC ID: 5991852170 Enrollment ID: I20090403000172 |
| Provider Name | Mary E Jones |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1316061427 PECOS PAC ID: 1153478102 Enrollment ID: I20090409000287 |
| Provider Name | Donna M Tanganelli |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1962614677 PECOS PAC ID: 8527105030 Enrollment ID: I20091102000087 |
| Provider Name | Katherine A Sundstrom |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1316149222 PECOS PAC ID: 0244321040 Enrollment ID: I20091111000126 |
| Provider Name | Michele Soares Valente |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1699837765 PECOS PAC ID: 4082741699 Enrollment ID: I20100429000645 |
| Provider Name | Maria Patrascu |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1306925284 PECOS PAC ID: 7214126432 Enrollment ID: I20110104000692 |
| Provider Name | Douglas J Conroy |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1952469298 PECOS PAC ID: 7719167196 Enrollment ID: I20110203000085 |
| Provider Name | Eleanor E Stutz |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1043353337 PECOS PAC ID: 8921281254 Enrollment ID: I20110324000434 |
| Provider Name | Joyce S Armstrong |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1881832327 PECOS PAC ID: 8022292705 Enrollment ID: I20110404000601 |
| Provider Name | Tamar T Saunders |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1619271624 PECOS PAC ID: 1153505300 Enrollment ID: I20110412000828 |
| Provider Name | Amy K Finkenstein |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1366721854 PECOS PAC ID: 6204006539 Enrollment ID: I20110824000529 |
| Provider Name | Bindu Lal |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1598935389 PECOS PAC ID: 1658541552 Enrollment ID: I20110901000524 |
| Provider Name | Amy M Boccaccio |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1033495767 PECOS PAC ID: 9638342645 Enrollment ID: I20111107000604 |
| Provider Name | Laurie R Mastrianna |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1245517002 PECOS PAC ID: 0244406114 Enrollment ID: I20111222000583 |
| Provider Name | Yolanda M Perlman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1871862623 PECOS PAC ID: 8426216052 Enrollment ID: I20120228000378 |
| Provider Name | Britt Lewis |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1255530747 PECOS PAC ID: 9931369063 Enrollment ID: I20120328000356 |
| Provider Name | Blanche J Gronowski |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1295820074 PECOS PAC ID: 3274795653 Enrollment ID: I20120501000359 |
| Provider Name | Amanda Griffin Sergel |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1124387972 PECOS PAC ID: 1355505975 Enrollment ID: I20120612000324 |
| Provider Name | Tran Tu |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1851536544 PECOS PAC ID: 1254596885 Enrollment ID: I20120706000001 |
| Provider Name | Melinda M Silva |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1407106446 PECOS PAC ID: 5698924611 Enrollment ID: I20121009000026 |
| Provider Name | Omar Rivera |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1780955484 PECOS PAC ID: 1658521133 Enrollment ID: I20121018000024 |
| Provider Name | Susan L Petrik |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1730377417 PECOS PAC ID: 7911159660 Enrollment ID: I20121204000422 |
| Provider Name | William Marcus Eckerd |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1780740365 PECOS PAC ID: 6709038748 Enrollment ID: I20121220000228 |
| Provider Name | Jessica M Screen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1609116029 PECOS PAC ID: 2062650856 Enrollment ID: I20130606000567 |
| Provider Name | Sarah E Carlson Allwood |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1295076289 PECOS PAC ID: 3870732167 Enrollment ID: I20130618000176 |
| Provider Name | Jocelyne G Martin Karam |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083031520 PECOS PAC ID: 4789802547 Enrollment ID: I20140820001905 |
| Provider Name | Glendaly Valle Izquierdo |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1780090936 PECOS PAC ID: 6305067976 Enrollment ID: I20141023001576 |
| Provider Name | Loan T Nguyen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1538437470 PECOS PAC ID: 9335360619 Enrollment ID: I20141030001422 |
| Provider Name | Tina Severy |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1982010849 PECOS PAC ID: 7214159821 Enrollment ID: I20141117000087 |
| Provider Name | Marissa Sessa |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1598030629 PECOS PAC ID: 3173846284 Enrollment ID: I20141222001541 |
| Provider Name | Christine L Fox |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1639560048 PECOS PAC ID: 8325365729 Enrollment ID: I20150324001218 |
| Provider Name | Grace Fischer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1326273897 PECOS PAC ID: 5193043693 Enrollment ID: I20150414000079 |
| Provider Name | Catherine L Nguyen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1598074239 PECOS PAC ID: 6507177318 Enrollment ID: I20150622000036 |
| Provider Name | Kristen A Bessette |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1235509696 PECOS PAC ID: 8325356637 Enrollment ID: I20151007000857 |
| Provider Name | Danielle Vinci Trindade |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1831360700 PECOS PAC ID: 7517277577 Enrollment ID: I20151104001068 |
| Provider Name | Audrie L Karraker |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1730290743 PECOS PAC ID: 3971805631 Enrollment ID: I20160112002352 |
| Provider Name | Sharry L Woods Chery |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1801199500 PECOS PAC ID: 4587967336 Enrollment ID: I20160128000883 |
| Provider Name | Elizabeth M Conrad |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1194198572 PECOS PAC ID: 3476858689 Enrollment ID: I20160226000071 |
| Provider Name | Nicole Marie Nolan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1053683888 PECOS PAC ID: 8729387220 Enrollment ID: I20160505000504 |
| Provider Name | Amy Fiorello |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1295190718 PECOS PAC ID: 0648567099 Enrollment ID: I20160928001552 |
| Provider Name | Christine Stowe |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1629522131 PECOS PAC ID: 5698049385 Enrollment ID: I20170919002432 |
| Provider Name | Allison Dziemaszkiewicz |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1306148861 PECOS PAC ID: 2062767627 Enrollment ID: I20180622000368 |
| Provider Name | Aubri Mae Grapkoski Magnifico |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1417367012 PECOS PAC ID: 2264722073 Enrollment ID: I20180731000258 |
| Provider Name | Melinda Marie Hardy |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1023315942 PECOS PAC ID: 0547519068 Enrollment ID: I20180828000489 |
| Provider Name | Jody Zenkus |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1699093492 PECOS PAC ID: 2062797673 Enrollment ID: I20180924001355 |
| Provider Name | Francis Dahlmeyer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1164879763 PECOS PAC ID: 3577803311 Enrollment ID: I20190314000848 |
| Provider Name | Taylor Sommerville Samela |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1821360512 PECOS PAC ID: 2961735279 Enrollment ID: I20190531000184 |
| Provider Name | Tanesha A Lambert |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1578954939 PECOS PAC ID: 3173856598 Enrollment ID: I20190617002436 |
| Provider Name | Deborah Cassells |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1245898550 PECOS PAC ID: 5698001675 Enrollment ID: I20190729003366 |
| Provider Name | Olivia Ann Goforth |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1871009563 PECOS PAC ID: 4981934734 Enrollment ID: I20190923000832 |
| Provider Name | Jennifer Hart |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1871868745 PECOS PAC ID: 0840520318 Enrollment ID: I20190925003685 |
| Provider Name | Jesse Lamorte |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1336555259 PECOS PAC ID: 6709214315 Enrollment ID: I20200313001517 |
| Provider Name | Karen Lainas |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1962952473 PECOS PAC ID: 3072938216 Enrollment ID: I20200804002975 |
| Provider Name | Scott Alvord |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1932596517 PECOS PAC ID: 7315347101 Enrollment ID: I20210616000817 |
| Provider Name | Luiza Mcdonagh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407454234 PECOS PAC ID: 2668863507 Enrollment ID: I20220103001102 |
| Provider Name | Alison Rosa |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1902447303 PECOS PAC ID: 3971997388 Enrollment ID: I20220301002080 |
| Provider Name | Richard Lawrence Casey |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1790328482 PECOS PAC ID: 1153709704 Enrollment ID: I20220609002491 |
| Provider Name | Liane Cynthia Gelman-wegener |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1669102992 PECOS PAC ID: 5991185472 Enrollment ID: I20220629003201 |
| Provider Name | Alexis Loren Greenwood |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1700506680 PECOS PAC ID: 0941685150 Enrollment ID: I20220923000403 |
| Provider Name | Kathryn Defiore |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1740707025 PECOS PAC ID: 3870964398 Enrollment ID: I20230120000935 |
| Provider Name | Jocelyn Tapia |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1851047534 PECOS PAC ID: 6002287992 Enrollment ID: I20230201002292 |
| Provider Name | Sara Milanowski Van Doren |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1780363127 PECOS PAC ID: 1658724224 Enrollment ID: I20240130003520 |
| Provider Name | Amanda M Marcoux |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306593470 PECOS PAC ID: 5890138184 Enrollment ID: I20240202002401 |
| Provider Name | Carol Chaparro |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1205278132 PECOS PAC ID: 6709293921 Enrollment ID: I20240216001227 |
| Provider Name | Mariell Trimachi |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1316683345 PECOS PAC ID: 4486099314 Enrollment ID: I20240229003877 |
| Provider Name | Louise Sarah May Schneider |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1780950642 PECOS PAC ID: 6002252384 Enrollment ID: I20240308001230 |
| Provider Name | Melissa Ann Caparitia |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1437713559 PECOS PAC ID: 3173969482 Enrollment ID: I20240308002732 |
| Provider Name | Lindsay Robin Molina |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1093376667 PECOS PAC ID: 2264878966 Enrollment ID: I20240315000777 |
| Provider Name | Christina Eagle |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1295246072 PECOS PAC ID: 0345687935 Enrollment ID: I20240319000339 |
| Provider Name | Alison Burge |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1356981831 PECOS PAC ID: 4082052840 Enrollment ID: I20240329002171 |
| Provider Name | Nicole Elizabeth Mchugh |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1457817678 PECOS PAC ID: 3678911443 Enrollment ID: I20240329002411 |
| Provider Name | Samantha Rival |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1326489469 PECOS PAC ID: 8123460193 Enrollment ID: I20240522000663 |
Bravely Obsessed With Living Daily Counsel Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 27 Visconti Ave, Waterbury, CT 06704 Phone: 203-707-0039 | |
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Girard Counseling Services, Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 182 Grand St Ste 219, Waterbury, CT 06702 Phone: 203-423-3546 Fax: 203-841-1184 | |
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