| Miss Taisha Zulma Santiago, LCSW | |
|
150 N Main St, 130, Manchester, CT 06042-2086 | |
| (860) 533-3434 | |
| Not Available |
| Full Name | Miss Taisha Zulma Santiago |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 150 N Main St, Manchester, Connecticut |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962770131 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 7822 (Connecticut) | Primary |
| Entity Name | Manchester Memorial Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1457399198 PECOS PAC ID: 4486647534 Enrollment ID: O20040406000161 |
| Entity Name | Prospect Ct Medical Foundation Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1144677568 PECOS PAC ID: 7416244496 Enrollment ID: O20160919001322 |
| Entity Name | Step Up Care Pc Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1154884740 PECOS PAC ID: 5496088346 Enrollment ID: O20190607000156 |
| Mailing Address | Practice Location Address |
|---|---|
| Miss Taisha Zulma Santiago, LCSW 340 Park Ave Apt C, East Hartford, CT 06108-4702 Ph: (860) 778-9805 | Miss Taisha Zulma Santiago, LCSW 150 N Main St, 130, Manchester, CT 06042-2086 Ph: (860) 533-3434 |
Michael Powers, M.S.W., L.C.S.W. Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 139 E Center St, Suite 2c, Manchester, CT 06040 Phone: 860-648-1078 Fax: 860-648-1078 | |
Mrs. Katherine Fontaine, LICSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 444 Center St, Manchester, CT 06040 Phone: 860-646-3888 Fax: 860-731-5536 | |
Yvette M. Thibodeau, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 19 Downey Drive, Apt D, Manchester, CT 06040 Phone: 860-436-2341 | |
Mrs. Sarah Anne Macdonald, LCSW Clinical Social Worker Medicare: May Accept Medicare Assignments Practice Location: 587 E Middle Tpke, Manchester, CT 06040 Phone: 860-646-3888 Fax: 860-645-4132 | |
Mrs. Cory Bernard, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 71 Haynes St, Behavioral Health Unit, Manchester, CT 06040 Phone: 860-646-1222 Fax: 860-533-2958 | |
Zelda Wanstok, Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 444 Center St, Manchester, CT 06040 Phone: 860-731-5522 Fax: 860-731-5536 | |
Ilaya L. Velazquez, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 317 N Main St, Manchester, CT 06042 Phone: 860-643-2101 |