| Andrew James Matusiak, | |
|
143 Pine Hill Rd, Unit 17a, Thomaston, CT 06787-1955 | |
| (860) 921-8909 | |
| Not Available |
| Full Name | Andrew James Matusiak |
|---|---|
| Gender | Male |
| Speciality | Clinical Social Worker |
| Experience | 10 Years |
| Location | 143 Pine Hill Rd, Thomaston, Connecticut |
| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801331640 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 010494 (Connecticut) | Primary |
| 1041C0700X | Social Worker - Clinical | 3249 (Connecticut) | Secondary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Challenging Minds Llc | 9830429794 | 4 |
| Entity Name | Sunrise Psychological Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1699199869 PECOS PAC ID: 7911130216 Enrollment ID: O20140512000200 |
| Entity Name | Step Up Care Pc Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1154884740 PECOS PAC ID: 5496088346 Enrollment ID: O20190607000156 |
| Entity Name | Challenging Minds Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1730745316 PECOS PAC ID: 9830429794 Enrollment ID: O20201007002569 |
| Mailing Address | Practice Location Address |
|---|---|
| Andrew James Matusiak, 143 Pine Hill Rd, Unit 17a, Thomaston, CT 06787-1955 Ph: (860) 921-8909 | Andrew James Matusiak, 143 Pine Hill Rd, Unit 17a, Thomaston, CT 06787-1955 Ph: (860) 921-8909 |
Nicole Hennessy, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 344 Watertown Rd, Thomaston, CT 06787 Phone: 203-892-5946 | |
Mrs. Karen Ann Reckmeyer, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 258 S Main St, Thomaston, CT 06787 Phone: 860-283-8224 Fax: 860-283-6079 | |
Jose Antonio Rodriguez, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 50 Union St, Thomaston, CT 06787 Phone: 860-459-0690 | |
Mrs. Colette Norton, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 443 E Main St, 1st Floor, Thomaston, CT 06787 Phone: 860-866-8352 | |
Mrs. Kiersten Rebecca Wamser, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 246 Bayberry Dr, Thomaston, CT 06787 Phone: 203-217-9050 | |
Sarah Moodie, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 57 Branch Rd, Thomaston, CT 06787 Phone: 860-283-3040 |