| Kayla Doucette, | |
|
141 E Main St, Waterbury, CT 06702-2310 | |
| (203) 574-9000 | |
| Not Available |
| Full Name | Kayla Doucette |
|---|---|
| Gender | Female |
| Speciality | Social Worker |
| Location | 141 E Main St, Waterbury, Connecticut |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841889383 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Secondary |
| 104100000X | Social Worker | (* (Not Available)) | Primary |
| Entity Name | Connecticut Children's Specialty Group, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669448882 PECOS PAC ID: 6002720117 Enrollment ID: O20031113000468 |
| Mailing Address | Practice Location Address |
|---|---|
| Kayla Doucette, 282 Washington St, Hartford, CT 06106-3322 Ph: (860) 545-9000 | Kayla Doucette, 141 E Main St, Waterbury, CT 06702-2310 Ph: (203) 574-9000 |
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 |