Andrew Fontana, LMSW | |
19 Elm St, Vernon, CT 06066-3207 | |
(860) 872-1918 | |
Not Available |
Full Name | Andrew Fontana |
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Gender | Male |
Speciality | Social Worker |
Location | 19 Elm St, Vernon, Connecticut |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1285207225 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 5388 (Connecticut) | Secondary |
104100000X | Social Worker | 5388 (Connecticut) | Primary |
Entity Name | Intercommunity Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1073548533 PECOS PAC ID: 9032001649 Enrollment ID: O20040329000218 |
Mailing Address | Practice Location Address |
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Andrew Fontana, LMSW 19 Elm St, Vernon, CT 06066-3207 Ph: (860) 872-1918 | Andrew Fontana, LMSW 19 Elm St, Vernon, CT 06066-3207 Ph: (860) 872-1918 |
Tammy Lynn Andrews, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 45 Hartford Tpke, Suite 2, Vernon, CT 06066 Phone: 860-647-8995 | |
Mrs. Rose Mary Drager, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 31 Union St, Vernon, CT 06066 Phone: 860-872-0501 Fax: 860-872-5298 | |
Ivy Erazo, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 306 Merline Rd, Vernon, CT 06066 Phone: 860-716-3667 | |
Mrs. Alison Kate Sefton Lewis, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 27 Naek Rd, Suite 4, Vernon, CT 06066 Phone: 860-872-9825 Fax: 860-870-9384 | |
Mr. John Francis Hennessey, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 60 Elm St, Vernon, CT 06066 Phone: 860-875-0292 Fax: 860-871-4910 | |
Michele F Smith, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 31 Union St, Vernon, CT 06066 Phone: 860-872-0501 |