| Emily Wickman, | |
|
22 Belle Vista Hts, Portland, CT 06480-1672 | |
| (860) 997-6679 | |
| Not Available |
| Full Name | Emily Wickman |
|---|---|
| Gender | Female |
| Speciality | Clinical Social Worker |
| Experience | 30 Years |
| Location | 22 Belle Vista Hts, Portland, Connecticut |
| Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740931856 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 4680 (Connecticut) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Psychological Health And Development Associates Llc | 6103129333 | 5 |
| Entity Name | Psychological Health & Development Associates Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1144519968 PECOS PAC ID: 6103129333 Enrollment ID: O20160122000307 |
| Mailing Address | Practice Location Address |
|---|---|
| Emily Wickman, 22 Belle Vista Hts, Portland, CT 06480-1672 Ph: () - | Emily Wickman, 22 Belle Vista Hts, Portland, CT 06480-1672 Ph: (860) 997-6679 |
Lauren A. Pisano, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3 Quarry Ln, Portland, CT 06480 Phone: 860-381-9692 | |
Kimberly Anne Kehoe, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 241 Paley Farms Rd, Portland, CT 06480 Phone: 860-614-9841 | |
Julie Pratt, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 14 Culver Ln, Portland, CT 06480 Phone: 413-218-3480 | |
Ms. Tracy Santos Morales, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1 Dogwood Dr, Portland, CT 06480 Phone: 860-377-5358 | |
Lindsey Arcand, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 14 Coe Avenue Ext, Portland, CT 06480 Phone: 860-550-4526 | |
Mr. Robert R. Malafronte, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 553 Portland Cobalt Rd, Portland, CT 06480 Phone: 860-342-0760 Fax: 860-342-4226 |