| Miss Amanda S Riccitelli, LCSW | |
|
2960 Post Rd Fl 3, Southport, CT 06890-1268 | |
| (203) 307-3030 | |
| Not Available |
| Full Name | Miss Amanda S Riccitelli |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 2960 Post Rd Fl 3, Southport, Connecticut |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568179166 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 12570 (Connecticut) | Primary |
| Entity Name | Coastal Connecticut Counseling Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1982076014 PECOS PAC ID: 8527361161 Enrollment ID: O20160114002225 |
| Mailing Address | Practice Location Address |
|---|---|
| Miss Amanda S Riccitelli, LCSW 2960 Post Rd, Southport, CT 06890-1268 Ph: () - | Miss Amanda S Riccitelli, LCSW 2960 Post Rd Fl 3, Southport, CT 06890-1268 Ph: (203) 307-3030 |
Ana Cristina Jardim Messenger, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 2960 Post Rd Fl 3, Southport, CT 06890 Phone: 203-307-3030 | |
Elizabeth Perry, L.C.S.W. Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 239 Barberry Rd, Southport, CT 06890 Phone: 203-772-1270 | |
Bradley Warren Bloom, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1101 Mill Hill Rd, Southport, CT 06890 Phone: 203-451-1599 Fax: 203-451-1599 | |
Linda Keller, LCSW, LMFT Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 49 John St, Suite 102, Southport, CT 06890 Phone: 203-307-3030 Fax: 203-255-7486 | |
Heather Lyn Rosenbaum, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 201 Hulls Hwy, Southport, CT 06890 Phone: 203-640-0777 | |
Joelle Smorada, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2537 Post Rd Ste 1, Southport, CT 06890 Phone: 203-842-8557 | |
Joshua Aaron Neitlich, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2425 Post Rd Ste 103, Southport, CT 06890 Phone: 203-993-7809 |