| Kathryn Fahey, LCSW | |
|
123 Quarry St, Willimantic, CT 06226-1247 | |
| (860) 465-2620 | |
| Not Available |
| Full Name | Kathryn Fahey |
|---|---|
| Gender | Female |
| Speciality | Clinical Social Worker |
| Experience | 37 Years |
| Location | 123 Quarry St, Willimantic, Connecticut |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346663408 | NPI | - | NPPES |
| 1023191467 | Medicaid | CT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 003230 (Connecticut) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Lawrence & Memorial Hospital | New london, CT | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Northeast Medical Group Inc | 1254233836 | 1287 |
| Entity Name | Windham Community Memorial Hospital, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1023191467 PECOS PAC ID: 2961309059 Enrollment ID: O20031217000231 |
| Entity Name | Northeast Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043278351 PECOS PAC ID: 1254233836 Enrollment ID: O20040123000522 |
| Entity Name | The William W Backus Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1467517235 PECOS PAC ID: 0749170645 Enrollment ID: O20040316000739 |
| Mailing Address | Practice Location Address |
|---|---|
| Kathryn Fahey, LCSW 66 Sundale Dr, Windham, Windham, CT 06280-1231 Ph: (860) 465-9087 | Kathryn Fahey, LCSW 123 Quarry St, Willimantic, CT 06226-1247 Ph: (860) 465-2620 |
Ariel Cussen, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 289 Windham Rd, Willimantic, CT 06226 Phone: 860-465-2650 | |
Karvada Monique Hurt, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 65 Peru St, Willimantic, CT 06226 Phone: 860-465-9884 | |
Virginia Lyon, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 40 Mansfield Ave, Willimantic, CT 06226 Phone: 860-450-0585 Fax: 860-450-0763 | |
Lori Bernier, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 112 Mansfield Ave, Willimantic, CT 06226 Phone: 860-456-6793 Fax: 860-456-6957 | |
Jessica L St. Louis, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 112 Mansfield Ave, Willimantic, CT 06226 Phone: 860-456-6985 Fax: 860-456-6771 | |
Ms. Shannan Farr, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 132 Mansfield Ave, Suite 200, Willimantic, CT 06226 Phone: 860-456-2261 | |
Mrs. Elizabeth Soucy Mendes, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 54 North St, Willimantic, CT 06226 Phone: 860-450-0151 Fax: 860-450-7152 |