| Madelyn Straub, LCSW | |
|
54 North St, Willimantic, CT 06226-2528 | |
| (860) 450-0151 | |
| Not Available |
| Full Name | Madelyn Straub |
|---|---|
| Gender | Female |
| Speciality | Clinical Social Worker |
| Experience | 11 Years |
| Location | 54 North St, Willimantic, Connecticut |
| Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831567023 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 2211 (Connecticut) | Secondary |
| 1041C0700X | Social Worker - Clinical | 3058 (Connecticut) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Change Counseling Llc | 9234564956 | 6 |
| Entity Name | Change Counseling Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1780141465 PECOS PAC ID: 9234564956 Enrollment ID: O20200127000687 |
| Mailing Address | Practice Location Address |
|---|---|
| Madelyn Straub, LCSW 54 North St, Willimantic, CT 06226-2528 Ph: () - | Madelyn Straub, LCSW 54 North St, Willimantic, CT 06226-2528 Ph: (860) 450-0151 |
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 |