| Christian Edward Klein, | |
|
119 Wrights Mill Rd, Coventry, CT 06238-1534 | |
| (860) 742-4232 | |
| Not Available |
| Full Name | Christian Edward Klein |
|---|---|
| Gender | Male |
| Speciality | Social Worker - Clinical |
| Location | 119 Wrights Mill Rd, Coventry, Connecticut |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730490061 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 007013 (Connecticut) | Primary |
| Entity Name | Waire Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1871744243 PECOS PAC ID: 4183782360 Enrollment ID: O20081016000105 |
| Entity Name | Inlight Professional Counseling Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1619284593 PECOS PAC ID: 4385934058 Enrollment ID: O20160608001681 |
| Mailing Address | Practice Location Address |
|---|---|
| Christian Edward Klein, 119 Wrights Mill Rd, Coventry, CT 06238-1534 Ph: (860) 742-4232 | Christian Edward Klein, 119 Wrights Mill Rd, Coventry, CT 06238-1534 Ph: (860) 742-4232 |
Mrs. Shante Powers-gaskins, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 49 Frederick Dr, Coventry, CT 06238 Phone: 860-580-9631 | |
Melanie Bellizzi, LCSW Clinical Social Worker Medicare: May Accept Medicare Assignments Practice Location: 1153 Main St, Coventry, CT 06238 Phone: 860-940-9145 Fax: 860-498-7025 | |
Lia Damato, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1700 Main St, Coventry, CT 06238 Phone: 860-742-7313 |