Glendaly Valle Izquierdo, LCSW in Waterbury, CT - Medicare Social Worker Provider

Glendaly Valle Izquierdo, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Waterbury, Connecticut. Her current practice location is 1669 Thomaston Ave, Waterbury, Connecticut. You can reach out to her office (for appointments etc.) via phone at (203) 759-3517.

Glendaly Valle Izquierdo is licensed to practice in Connecticut (license number 008559) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1780090936.

Contact Information

	Glendaly Valle Izquierdo, LCSW
	1669 Thomaston Ave, Waterbury, CT 06704-1026
	(203) 759-3517
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Glendaly Valle Izquierdo
Gender	Female
Speciality	Social Worker - Clinical
Location	1669 Thomaston Ave, Waterbury, Connecticut
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1780090936
Provider Enumeration Date: 07/09/2014
Last Update Date: 07/09/2014

Medicare PECOS Information:

PECOS PAC ID: 6305067976
Enrollment ID: I20141023001576

Medical Identifiers

Medical identifiers for Glendaly Valle Izquierdo such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1780090936	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	008559 (Connecticut)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Glendaly Valle Izquierdo allows following entities to bill medicare on her behalf.

Entity Name	State Of Connecticut
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1841225489 PECOS PAC ID: 8022915677 Enrollment ID: O20040319000427

Entity Name	State Of Connecticut
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1881629434 PECOS PAC ID: 8022915677 Enrollment ID: O20041227000221

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. Glendaly Valle Izquierdo is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Glendaly Valle Izquierdo, LCSW 1669 Thomaston Ave, Waterbury, CT 06704-1026 Ph: (203) 759-3517	Glendaly Valle Izquierdo, LCSW 1669 Thomaston Ave, Waterbury, CT 06704-1026 Ph: (203) 759-3517

Reviews and Comments

Social Worker in Waterbury, CT

Miss Jennifer Michele Sinclair, L.C.S.W. Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 27 Visconti Ave, Waterbury, CT 06704 Phone: 203-232-8596
Patricia Ann Dupree-bautista, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 95 Thomaston Ave, Waterbury, CT 06702 Phone: 203-805-5383
Jennifer Giordano, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 55 West Main Street, Western Connecticut Mental Health Network Suite 410, Waterbury, CT 06702 Phone: 203-805-6408 Fax: 203-805-6432
Mr. Michael F Norton, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 228 Meadow St, Waterbury, CT 06702 Phone: 203-597-0643 Fax: 203-597-0834
Mary Ann Rourke, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 95 Scovill St, 3rd Floor, Waterbury, CT 06706 Phone: 203-709-7081 Fax: 203-709-7754
Mrs. Ivelisse Soto, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 95 Thomaston Ave, Waterbury, CT 06702 Phone: 203-805-5378
Paula Zigman, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 55 West Main Street, Suite 410 Western Connecticut Mental Health Network, Waterbury, CT 06702 Phone: 203-805-6408 Fax: 203-805-6432

Glendaly Valle Izquierdo, LCSW - Medicare Clinical Social Worker in Waterbury, CT