| Heather R Laselle, PHD ABD, LCSW,MPA,MS | |
|
176 Robin Ln, Cheshire, CT 06410 | |
| (203) 599-1492 | |
| Not Available |
| Full Name | Heather R Laselle |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 176 Robin Ln, Cheshire, Connecticut |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649511437 | NPI | - | NPPES |
| 008057449 | Medicaid | CT | |
| PENDING | Other | CAQH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 8867 (Connecticut) | Primary |
| Entity Name | Ct Kids Matter Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1710452255 PECOS PAC ID: 5698143923 Enrollment ID: O20240222002712 |
| Mailing Address | Practice Location Address |
|---|---|
| Heather R Laselle, PHD ABD, LCSW,MPA,MS 416 Highland Ave Ste B, Cheshire, CT 06410-2531 Ph: (203) 599-1492 | Heather R Laselle, PHD ABD, LCSW,MPA,MS 176 Robin Ln, Cheshire, CT 06410 Ph: (203) 599-1492 |
Delmaliz Montes De Oca, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 787 N Brooksvale Rd, Cheshire, CT 06410 Phone: 203-802-5949 | |
Rachel Paige Mastin, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 555 Highland Ave Ste 21, Cheshire, CT 06410 Phone: 944-920-3263 | |
Benjamin Chaback, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 545 Highland Ave, Cheshire, CT 06410 Phone: 203-250-0305 | |
Ethan Sansolo, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 407 Highland Ave, Building A, Suite 6, Cheshire, CT 06410 Phone: 860-335-7615 | |
Ms. De'andrea L.r. Dillard, MSM, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1113 S Main St Ste F, Cheshire, CT 06410 Phone: 203-699-6318 | |
Lisa Marie Kicinski, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 114 S Main St Ste 28and32, Cheshire, CT 06410 Phone: 860-348-5614 | |
Raenette G Riddick, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 416 Highland Ave Ste B, Cheshire, CT 06410 Phone: 203-599-1492 |