| Marie Ellen Goodine, | |
|
1177 Silas Deane Hwy Ste 3, Wethersfield, CT 06109-4332 | |
| (860) 837-0401 | |
| Not Available |
| Full Name | Marie Ellen Goodine |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 1177 Silas Deane Hwy Ste 3, Wethersfield, Connecticut |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023642998 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 2733 (Connecticut) | Primary |
| Entity Name | Grow Healthcare Group Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1245845932 PECOS PAC ID: 3476961368 Enrollment ID: O20220512000081 |
| Mailing Address | Practice Location Address |
|---|---|
| Marie Ellen Goodine, 768 S Quaker Ln, West Hartford, CT 06110-1223 Ph: (860) 798-6758 | Marie Ellen Goodine, 1177 Silas Deane Hwy Ste 3, Wethersfield, CT 06109-4332 Ph: (860) 837-0401 |
Amanda Wanat, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1177 Silas Deane Hwy, Wethersfield, CT 06109 Phone: 860-837-0401 | |
Catrina Franco, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 108 Harding St, Wethersfield, CT 06109 Phone: 860-459-8902 | |
Alanna Cofrancesco, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 24 Wolcott Hill Rd, Wethersfield, CT 06109 Phone: 959-200-3127 | |
Michelle Sarofin, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 47 Coleman Rd, Wethersfield, CT 06109 Phone: 203-886-9193 | |
Jacob James Carpenter, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 77 Charter Rd, Wethersfield, CT 06109 Phone: 802-380-9473 | |
Mr. Chad Williams, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1177 Silas Deane Hwy, Wethersfield, CT 06109 Phone: 860-712-0279 |