| Within Reach Llc | |
|
98 Dikeman St Waterbury CT 06704-3905 | |
| (203) 510-1002 | |
| Not Available |
| Full Name | Within Reach Llc |
|---|---|
| Speciality | Social Worker |
| Location | 98 Dikeman St, Waterbury, Connecticut |
| Authorized Official Name and Position | Chantell Paris (EXECUTIVE) |
| Authorized Official Contact | 2035101002 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Within Reach Llc 98 Dikeman St Waterbury CT 06704-3905 Ph: () - | Within Reach Llc 98 Dikeman St Waterbury CT 06704-3905 Ph: (203) 510-1002 |
| NPI Number | 1871147546 |
|---|---|
| Provider Enumeration Date | 07/30/2019 |
| Last Update Date | 07/30/2019 |
| Medicare PECOS PAC ID | 3678804879 |
|---|---|
| Medicare Enrollment ID | O20191018000504 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871147546 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Eric Brysgel |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1912950213 PECOS PAC ID: 6709817943 Enrollment ID: I20050826000509 |
| Provider Name | Rebecca F Dreyer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1881803757 PECOS PAC ID: 6002194933 Enrollment ID: I20161028000217 |
| Provider Name | Chantell D Paris |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1144874819 PECOS PAC ID: 6305177502 Enrollment ID: I20191018000594 |
| Provider Name | Emily Lane Kelly |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1992158604 PECOS PAC ID: 7911449996 Enrollment ID: I20240605002199 |
| Provider Name | Sonya Kirven |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1649702515 PECOS PAC ID: 6406398395 Enrollment ID: I20240606002957 |
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