Elisabeth D Peralta, LADC,MSW,BSW,ASW - in Waterbury, CT

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Elisabeth D Peralta, LADC,MSW,BSW,ASW is a Counselor - Addiction (substance Use Disorder) based in Waterbury, Connecticut. Elisabeth D Peralta is licensed to practice in * (Not Available) (license number ) and her current practice location is 402 E Main St, Waterbury, Connecticut. She can be reached at her office (for appointments etc.) via phone at (203) 574-9000.

NPI number for Elisabeth D Peralta is 1114313947 and her current mailing address is 141 E Main St, 4th Floor Administration, Waterbury, Connecticut. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1114313947.

Contact Information

Elisabeth D Peralta, LADC,MSW,BSW,ASW
402 E Main St,
Waterbury, CT 06702-1701
(203) 574-9000
(203) 574-9006

Map and Direction




Healthcare Provider's Profile

Full NameElisabeth D Peralta
GenderFemale
SpecialityCounselor - Addiction (substance Use Disorder)
Location402 E Main St, Waterbury, Connecticut
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1114313947
  • Provider Enumeration Date: 04/08/2015
  • Last Update Date: 09/27/2024

Medical Identifiers

Medical identifiers for Elisabeth D Peralta such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1114313947NPI-NPPES
060669107OtherCTUNITED BEHAVIORAL HEALTH GRP/FACILITY
0808064941MedicaidCT
060669107OtherCTANTHEM BCBS OF CT GRP/FACILITY
060669107OtherCTUBH/OFORD FREEDOM-LIBERTY GRP/FACILITY
PENDINGOtherCTCIGNA BEHAVIORAL HEALTH
PENDINGOtherCTMHN MANAGED HEALTH NETWORK
PENDINGOtherCTMHN TRICARE NORTH
060669107OtherCTUBH/CONNECTICTUT GRP/FACILITY
13818187OtherCTCAQH
060669107OtherCTHEALTHYCT GRP/FACILITY
PENDINGOtherCTAETNA BEHAVIORAL HEALTH
060669107OtherCTUBH-UNITED HEALTHCARE GRP/FACILITY
D339210 402 E MAINOtherCTBEACON HEALTH STRATEGIES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1041C0700XSocial Worker - Clinical 2362 (Connecticut)Secondary
101YA0400XCounselor - Addiction (substance Use Disorder) (* (Not Available))Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Elisabeth D Peralta is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Elisabeth D Peralta, LADC,MSW,BSW,ASW
141 E Main St, 4th Floor Administration,
Waterbury, CT 06702-2310

Ph: (203) 574-9000		Elisabeth D Peralta, LADC,MSW,BSW,ASW
402 E Main St,
Waterbury, CT 06702-1701

Ph: (203) 574-9000

Reviews and Comments



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