| Liam Doyle, LCSW | |
|
1000 Bridgeport Ave Ste 202, Shelton, CT 06484-4669 | |
| (203) 712-9998 | |
| (203) 242-1165 |
| Full Name | Liam Doyle |
|---|---|
| Gender | Male |
| Speciality | Social Worker - Clinical |
| Location | 1000 Bridgeport Ave Ste 202, Shelton, Connecticut |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598401176 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 011901 (Connecticut) | Primary |
| Entity Name | Behavioral Health Center For Counseling & Learning Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1578788766 PECOS PAC ID: 8729313135 Enrollment ID: O20190708001566 |
| Mailing Address | Practice Location Address |
|---|---|
| Liam Doyle, LCSW 984 Southford Rd, Middlebury, CT 06762-3234 Ph: (203) 758-2400 | Liam Doyle, LCSW 1000 Bridgeport Ave Ste 202, Shelton, CT 06484-4669 Ph: (203) 712-9998 |
Rebecca Rotondo, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1000 Bridgeport Ave Ste 202, Shelton, CT 06484 Phone: 203-759-8462 Fax: 203-242-1165 | |
Sandra Dickens, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1 Enterprise Dr Ste 415, Shelton, CT 06484 Phone: 203-255-5078 | |
Christine Zangrillo, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 1000 Bridgeport Ave Ste 202, Shelton, CT 06484 Phone: 203-712-9998 Fax: 203-242-1165 | |
Mr. Kenneth Michael Lacilla, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 476 Howe Ave, Suite 4, Shelton, CT 06484 Phone: 203-924-9426 | |
Cori Testani, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2 Trap Falls Rd, Shelton, CT 06484 Phone: 203-816-6424 | |
Daphne Elliott, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 110 Commerce Dr, Shelton, CT 06484 Phone: 203-929-7331 Fax: 203-925-0330 | |
Tracy Clough, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 515 Bridgeport Ave, Shelton, CT 06484 Phone: 973-809-4722 |