| Miss Ashley Lily Orellana, LCSW | |
|
982 E Main St, Bridgeport, CT 06608-1913 | |
| (203) 696-3260 | |
| Not Available |
| Full Name | Miss Ashley Lily Orellana |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 982 E Main St, Bridgeport, Connecticut |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457087942 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 6541 (Connecticut) | Secondary |
| 1041C0700X | Social Worker - Clinical | 14672 (Connecticut) | Primary |
| Entity Name | Optimus Health Care Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669445946 PECOS PAC ID: 9335051580 Enrollment ID: O20031105000254 |
| Mailing Address | Practice Location Address |
|---|---|
| Miss Ashley Lily Orellana, LCSW 982 E Main St, Bridgeport, CT 06608-1913 Ph: (203) 696-3260 | Miss Ashley Lily Orellana, LCSW 982 E Main St, Bridgeport, CT 06608-1913 Ph: (203) 696-3260 |
Ms. Christen A Richard, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1635 Central Avenue, Southwest Ct Mental Health System, Bridgeport, CT 06610 Phone: 203-551-7660 Fax: 203-551-7481 | |
Kimberly Anne Foster, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 180 Fairfield Ave, Bridgeport, CT 06604 Phone: 201-317-2065 | |
Jason Ruggiero, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 180 Fairfield Ave Fl 2, Bridgeport, CT 06604 Phone: 203-394-6529 | |
Mrs. Gabriele Stefanie Paul, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1635 Central Ave, Southwest Ct Mental Health System, Bridgeport, CT 06610 Phone: 203-551-7660 | |
Paula Dodge, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 170 Bennett St, Bridgeport, CT 06605 Phone: 203-690-5150 | |
Shalishea Laws, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1 Lafayette Cir, Bridgeport, CT 06604 Phone: 203-258-1557 | |
Ms. Alexza L Rubio, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: Southwest Connecticut Mental Health System, 1635 Central Avenue, Bridgeport, CT 06610 Phone: 203-551-7660 Fax: 203-551-7481 |